Document Detail


No correlation between cesarean section rates and perinatal mortality of singleton infants over 2,500 g.
MedLine Citation:
PMID:  19274495     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A rising cesarean section rate has been suggested as of benefit in reducing the already low perinatal death rates seen in developed countries for infants of normal birthweight. Iceland has one of the lowest national corrected and uncorrected perinatal mortality rates. Information was collected through the Icelandic birth registry for all 82,251 deliveries of non-malformed singletons weighing > or = 2,500 g at birth, for the 20 years 1987-2006. The mean birthweight-specific perinatal mortality rate for these pregnancies was 2.0/1,000 per year (range 0.8-4.1/1000) without significant changes over the study period. The cesarean section rate varied between 11.9 and 16.7% and did not correlate with the perinatal mortality rate. Among the nulliparous women, cesarean section rates increased from 13.1 to 17.9% without correlation to the perinatal mortality, which on average was 1.7/1,000. A further benefit from rising cesarean section rates at term in countries with a prior low perinatal mortality is questioned.
Authors:
Gudny Jonsdottir; Alexander K Smarason; Reynir T Geirsson; Ragnheidur I Bjarnadottir
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  88     ISSN:  1600-0412     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  2009  
Date Detail:
Created Date:  2009-04-30     Completed Date:  2009-05-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  621-3     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Landspitali University Hospital, Reykjavik, Iceland.
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MeSH Terms
Descriptor/Qualifier:
Adult
Birth Weight / physiology*
Cesarean Section / statistics & numerical data*
Cohort Studies
Female
Humans
Iceland / epidemiology
Infant Mortality / trends*
Infant, Newborn
Male
Parity
Perinatal Mortality / trends*
Pregnancy
Pregnancy Outcome
Registries / statistics & numerical data*
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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