Searching for the Optimal Rate of Medically Necessary Cesarean Delivery

Abstract

Our findings corroborate the statement that a population-level cesarean section rate above 10-15 percent is hardly justified from the medical perspective.

Factors associated with delayed initiation of breastfeeding: a survey in Northern Uganda

“…In this population, only 4% of women delivered by caesarean section, and this makes the relative contribution of this variable appear small. However, the caesarean section rate in this area is much lower than the minimum rate needed for optimal maternal and child health [38]. This suggests that the low cesarean rate is probably a result of poor health systems and therefore will become higher as the health systems in the area recover.…”

Nascimentos no Brasil: associação do tipo de parto com variáveis temporais e sociodemográficas

“…8 Visando eliminar a possibilidade de confundimento por variáveis socioeconômicas e dificuldades de acesso à cirurgia, um novo estudo analisou esta correlação utilizando dados de 19 países desenvolvidos, que oferecem acesso imediato ao procedimento cirúrgico e que detém baixas taxas de mortalidade materna e infantil. 9 Para a estimativa das taxas, nos dois desenhos, os dados foram corrigidos para subregistro de nascimentos utilizando fatores de um estudo sobre busca ativa de nascimentos, 13 que considera o agrupamento de municípios por região, tamanho da população e nível de adequação das informações sobre nascidos vivos.…”

Maternal deaths from bleeding associated with caesarean delivery: A national emergency

“…This corresponds to an increase in the CD rate (CDR) from 16.1% to 23.2% between 2002 and 2013. In a recent publication, based on a review of country trends in maternal/newborn mortality rates and CDRs, [13] the World Health Organization (WHO) stated that CDRs above 10 -15% did not confer benefit in terms of reduction in mortality. [14] However, in the same publication the WHO stated that 'every effort should be made to provide caesarean sections to women in need, rather than striving to achieve a specific rate' and 'Caesarean sections should ideally only be undertaken when medically necessary' .…”