Trends and predictors of cesarean birth in Singapore, 2005‐2014: A population‐based cohort study

Chi, Claudia; Pang, Deanette; Aris, Izzuddin M.; Teo, Wei Ting; Li, Sarah Weiling; Biswas, Arijit; Yong, Eu Leong; Chong, Yap Seng; Tan, Kelvin Bryan; Kramer, Michael S.

doi:10.1111/birt.12341

Cited by 6 publications

(5 citation statements)

References 34 publications

(61 reference statements)

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“…More women who gave birth in private centers had a cesarean section than those who gave birth in public hospitals, regardless of being primiparous or multiparous. This finding agrees with other authors’ results [14,19,20,22]. Nevertheless, in a study carried out on 617,269 live-birth deliveries in Michigan (USA), no association between public or private hospitals and cesarean births was found [21].…”

Section: Discussionsupporting

confidence: 91%

“…The main care supplier regarding birth attendance in most health systems worldwide is the public health administration [8,9,10,11,12,13]. Nevertheless, private companies are the main providers of birth attendance in some countries like Singapore [14] and USA [15]. Despite the public health system dominating this background, some countries are presently witnessing a growing trend towards the provision of care by private suppliers instead of the public health system [16,17,18].…”

Section: Introductionmentioning

confidence: 99%

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Evidence-based Birth Attendance in Spain: Private versus Public Centers

Hernández‐Martínez¹,

Martínez‐Galiano

Rodríguez‐Almagro

et al. 2019

IJERPH

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The type of hospital (public or private) has been associated with the type of clinical practice carried out. The purpose of this study was to determine the association between the type of hospital (public or private) and delivery attendance with practices based on the recommendations by the World Health Organization (WHO). A cross-sectional study with puerperal women (n = 2906) was conducted in Spain during 2017. The crude Odds Ratios (OR), adjusted (aOR) and their 95% confidence intervals (CI) were calculated through binary logistic regression. For multiparous women in private centers, a higher rate of induced labor was observed (aOR: 1.49; 95% CI: 1.11–2.00), fewer natural methods were used to relieve pain (aOR: 0.51; 95% CI: 0.35–0.73), and increased odds of cesarean section (aOR: 2.50; 95% CI: 1.81–3.46) were found as compared to public hospitals. For primiparous women in private centers, a greater use of the epidural was observed (aOR: 1.57; 95% CI: 1.03–1.40), as well as an increased likelihood of instrumental birth (aOR: 1.53; 95% CI: 1.09–2.15) and of cesarean section (aOR: 1.77; 95% CI: 1.33–2.37) than in public hospitals. No differences were found in hospitalization times among women giving birth in public and private centers (p > 0.05). The World Health Organization birth attendance recommendations are more strictly followed in public hospitals than in private settings.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Evidence-based Birth Attendance in Spain: Private versus Public Centers

Hernández‐Martínez¹,

Martínez‐Galiano

Rodríguez‐Almagro

et al. 2019

IJERPH

View full text Add to dashboard Cite

show abstract

“…One would expect, more modest rates in community hospitals. And this trend is more or less the same in various parts of the world [7,[15][16][17]. The majority of C/S operations in the United States are performed due to compelling medical indications.…”

Section: Discussionmentioning

confidence: 99%

Effect of sexual dysfunction on women's preference for delivery methods: a social media-based survey

Ağar¹,

Aker²

2021

Clinical and Experimental Obstetrics & Gynecology

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Background: Although vaginal delivery (VD) is the natural and preferred mode of delivery, cesarean section (C/S) deliveries increased disproportionately during the last decades. We hypothesized that women's preference of a mode of delivery may have a relationship with their sexual dysfunction. Methods: This survey study recruited women who had already had VD or C/S. We evaluated sexual function via the Golombok-Rust Inventory of Sexual Satisfaction (GRISS) and examined the relationship between possible sexual dysfunction and previous preference for delivery mode. Participants were enrolled from among the author's Instagram followers. Results: Overall, 190 women were included in the analysis. The median age was 30 years (range:19-45 years). While 86 participants (45.3%) had VD, 104 participants (54.7%) underwent C/S. Overall and subscale GRISS scores were similar in both groups. We also compared the responses to the 28 questions of the GRISS inventory. No significant difference was found between the groups except for question 11 about the vaginal discomfort felt when a finger is inserted. Patients who had VD were less likely to insert their fingers into their vagina without discomfort. Conclusions: With a novel social media recruitment method, we showed that sexual dysfunction was not related to the mode of delivery among participant women. However, we found that patients who had VD were less likely to feel discomfort when they insert their fingers into their vaginas.

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“…In 2010, of the 16 million babies born in China, approximately 50% were born by caesarean delivery [32]. In Singapore, the overall caesarean delivery rate increased from 32.2% (Year 2005) to 37.4% in year 2014 [34]. Some contributing factors to the alarming rates of caesarean delivery in China and Singapore include the obstetric care system (i.e.…”

Section: Medicalization Of Childbirthmentioning

confidence: 99%

Health Promotion Among Families Having a Newborn Baby

Shorey

2021

Health Promotion in Health Care – Vital Theories and Research

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Pregnancy, childbirth, and the postpartum period are the stressful transition periods to parenthood. With medicalization of perinatal period, parents feel left out and less confident in their parenthood journey, which may pose serious threats to the family dynamics. Salutogenesis theory offers the potential to influence a shift away from negative health outlooks and outcomes, medicalization of childbirth, toward health promotion and positive well-being focus for maternity care services design and delivery in the future.

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Trends and predictors of cesarean birth in Singapore, 2005‐2014: A population‐based cohort study

Abstract: Cesarean birth has continued to rise at a steady rate in Singapore. Strategies to curb this temporal increase include avoidance of medically unnecessary primary cesarean and attempts at trial of labor and vaginal delivery among women with a history of prior cesarean.

Cited by 6 publications

References 34 publications

Evidence-based Birth Attendance in Spain: Private versus Public Centers

Evidence-based Birth Attendance in Spain: Private versus Public Centers

Effect of sexual dysfunction on women's preference for delivery methods: a social media-based survey

Health Promotion Among Families Having a Newborn Baby

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