Variabilidad en el porcentaje de cesáreas y en los motivos para realizarlas en los hospitales españoles

Redondo, Ana; Sáez, Mercedes López; Oliva, Patricia; Soler, Maria; Arias, A.M.

doi:10.1016/j.gaceta.2012.08.001

Cited by 10 publications

(5 citation statements)

References 12 publications

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“…The rates of obstetric intervention in full-term single births found in the settings studied show a higher rate of caesarean sections in hospitals with a lower volume of births, which conforms to the internal assessment of the SANC and other studies conducted in Spain [36]. In terms of instrumental births, higher intervention rates can be seen in the group of privately funded hospitals, and within this group the highest level of intervention was observed among those with fewer births.…”

Section: Discussionsupporting

confidence: 86%

Obstetric interventions in two groups of hospitals in Catalonia: a cross-sectional study

Escuriet

Pueyo

Biescas

et al. 2014

BMC Pregnancy Childbirth

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BackgroundChildbirth assistance in highly technological settings and existing variability in the interventions performed are cause for concern. In recent years, numerous recommendations have been made concerning the importance of the physiological process during birth. In Spain and Catalonia, work has been carried out to implement evidence-based practices for childbirth and to reduce unnecessary interventions.To identify obstetric intervention rates among all births, determine whether there are differences in interventions among full-term single births taking place in different hospitals according to type of funding and volume of births attended to, and to ascertain whether there is an association between caesarean section or instrumental birth rates and type of funding, the volume of births attended to and women’s age.MethodsCross-sectional study, taking the hospital as the unit of analysis, obstetric interventions as dependent variables, and type of funding, volume of births attended to and maternal age as explanatory variables. The analysis was performed in three phases considering all births reported in the MBDS Catalonia 2011 (7,8570 births), full-term single births and births coded as normal.ResultsThe overall caesarean section rate in Catalonia is 27.55% (CI 27.23 to 27.86). There is a significant difference in caesarean section rates between public and private hospitals in all strata. Both public and private hospitals with a lower volume of births have higher obstetric intervention rates than other hospitals (49.43%, CI 48.04 to 50.81).ConclusionsIn hospitals in Catalonia, both the type of funding and volume of births attended to have a significant effect on the incidence of caesarean section, and type of funding is associated with the use of instruments during delivery.

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Section: Discussionsupporting

confidence: 86%

Obstetric interventions in two groups of hospitals in Catalonia: a cross-sectional study

Escuriet

Pueyo

Biescas

et al. 2014

BMC Pregnancy Childbirth

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“…Source: Spanish Ministry of Health. See alsoRedondo et al (2013). In a context of public, universal healthcare, lower rates of c-sections in public hospitals in Spain are consistent with the lower incidence of c-sections among the uninsured in the US(Aron et al, 2000).26 In Spain private hospitals can be privately owned and operated, or privately owned, but dependent on the National Health System.…”

mentioning

confidence: 86%

“…Mothers with private insurance (many public servants who may opt for private healthcare, as well as some affluent families) tend to give birth in private clinics in the absence of birth complications. Guidelines of patient care and average length of hospital stays are similar to the National Health System, but private hospitals show a much higher prevalence of c-sections,as well as births with obstetric intervention (including induction of labor, epidural, forceps, and episiotomy; Redondo et al 2013, Escuriet et al 2014). It's been suggested that the high percentage of cesarean sections without medical indication in private hospitals could be due to their "greater receptivity to women's demands" (Redondo et al 2013).…”

Section: Institutional Framework: the Benefit Cancellationmentioning

confidence: 99%

The Impact of Scheduling Birth Early on Infant Health

Borra

González

Sevilla

2019

Journal of the European Economic Association

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We take advantage of a unique natural experiment to provide new, credible evidence on the health consequences of scheduling birth early for non-medical reasons.In May 2010, the Spanish government announced that a €2,500 universal "baby bonus" would stop being paid to babies born after December31st, 2010. Using administrative data from birth certificates and hospital records, we find that about 2,000 families shifted their date of birth from January 2011 to December 2010 (outof 9,000 weekly births). The affected babies, born about one week early on average, weighed about 200 grams less at birth, and suffered a sizeable increase in hospitalization rates in the first two months of life, mostly for respiratory disease.

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“…It is interesting the results observed by Rebelo, Redondo and Soto-Vega where CS reaches more than 60% of the deliveries procedures after the 30 years old, reaching 82.5% of women older than 30 in México. 13,14…”

Section: What Is the Age Range Among Women Having Cs?mentioning

confidence: 99%

Rising Trends of Cesarean Section Worldwide: A Systematic Review

Soto-Vega¹,

Casco²,

Chamizo³

et al. 2015

OGIJ

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Background: Cesarean section (CS) is the most common surgery performed around the world. The World Health Organization (WHO) suggests a cesarean rate from 5% to 15%, but the worldwide percentage is higher. Objective: The aim of this study was to conduct a systematic review to analyze if there are some factors associated with the increment of CS rate like public or private hospitals, mothers' age, CS indication, educational level and socioeconomic status.Methods: A systematic review was conducted using PubMed, EBSCO and Medscape databases to identify studies published from 2000 to 2015.Findings: A total 22 articles were included from eighteen different countries. All of them showed an overwhelming prevalence of CS, compared with the stipulated by the WHO, with a mean of 45.2% of CS worldwide. The rate of cesarean delivery was higher at the private hospitals than in the public ones. Conclusion:It is necessary to regulate the quantity of CS performed in hospitals, to reduce health costs and maternal and fetal risks. CS prevalence is markedly high around the world, especially in the private sector, that clearly demonstrates that there are other factors involved in this group of users.

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Variabilidad en el porcentaje de cesáreas y en los motivos para realizarlas en los hospitales españoles

Abstract: Research on non-clinical factors could clarify the differences in the ratio of cesarean sections in private hospitals compared with public hospitals and among distinct levels of public hospitals.

Cited by 10 publications

References 12 publications

Obstetric interventions in two groups of hospitals in Catalonia: a cross-sectional study

Obstetric interventions in two groups of hospitals in Catalonia: a cross-sectional study

The Impact of Scheduling Birth Early on Infant Health

Rising Trends of Cesarean Section Worldwide: A Systematic Review

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