| Surveillance of cesarean section deliveries, New Jersey, 1999-2004. | |
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MedLine Citation:
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PMID: 16948720 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Nationally and in New Jersey, the cesarean delivery rate has been increasing steadily for nearly a decade, and especially since 1999. The purpose of this study was to describe recent trends in cesarean section delivery in New Jersey. METHODS: Data on delivery method, medical indications and patient characteristics were extracted from electronic birth certificate files. RESULTS: Cesarean section deliveries increased as a proportion of live births by 6 percent annually. Growth was roughly uniform across Robson's clinical classification. Repeat cesareans contributed only proportionately to the overall trend. The greatest acceleration was observed for procedures without trial of labor, and in medical situations where cesarean delivery had been relatively rare. CONCLUSIONS: Medical indications recorded on the birth certificate explained little of the rapid growth in utilization of cesarean delivery, since trends were comparable in most categories we examined. A sustained autonomous shift in practice patterns, patient preferences, or both seems the most likely driver of the overall trend. |
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Authors:
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Charles E Denk; Lakota K Kruse; Neetu J Jain |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Birth (Berkeley, Calif.) Volume: 33 ISSN: 0730-7659 ISO Abbreviation: Birth Publication Date: 2006 Sep |
Date Detail:
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Created Date: 2006-09-04 Completed Date: 2006-12-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8302042 Medline TA: Birth Country: United States |
Other Details:
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Languages: eng Pagination: 203-9 Citation Subset: IM |
Affiliation:
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Maternal and Child Health Epidemiology Program, New Jersey Department of Health and Senior Services, Trenton, New Jersey08625-0364, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Birth Certificates Cesarean Section / utilization* Female Humans Maternal Age New Jersey / epidemiology Parity Physician's Practice Patterns / trends* Population Surveillance Pregnancy Pregnancy Complications / epidemiology Pregnancy Outcome Risk Factors Trial of Labor |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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