Document Detail


Trends in cesarean rates for first births and repeat cesarean rates for low-risk women: United States, 1990-2003.
MedLine Citation:
PMID:  16220739     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: This report presents trends in cesarean rates for first births and repeat cesarean rates for low-risk women, in relation to the Healthy People 2010 (HP 2010) objectives. Data for the U.S. showing trends by maternal age and race and Hispanic origin are presented. METHODS: Cesarean rates were computed based on the information reported on birth certificates. RESULTS: With a decrease between 1990 and 1996 and an increase between 1996 and 2003, the trend in the cesarean rate for low-risk women having a first birth paralleled trends in the primary (regardless of parity) and total cesarean rates. During 1996-2003 the cesarean rate for low-risk women having a first birth has consistently been at least 13 percent lower than the rate for all women having a first birth. For 2003 the cesarean rate for all primiparous women was 27.1 percent; for low-risk women the rate was 23.6 percent. The trend in the repeat cesarean rate for low-risk women was similar to the trend in the repeat rate for all women, i.e., a decrease from 1990 to 1996 and an increase from 1996 to 2003. The repeat cesarean rate for low-risk women has consistently been slightly lower than the rate for all women. For 2003 the repeat rate for all women was 89.4; the rate for low-risk women was 88.7. These trends were found for low-risk women of all ages and racial or ethnic groups. Therefore, low-risk women giving birth for the first time who have a cesarean delivery are more likely to have a subsequent cesarean delivery.
Authors:
Fay Menacker
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  National vital statistics reports : from the Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System     Volume:  54     ISSN:  1551-8922     ISO Abbreviation:  Natl Vital Stat Rep     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-10-13     Completed Date:  2006-01-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9814753     Medline TA:  Natl Vital Stat Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1-8     Citation Subset:  IM    
Affiliation:
Division of Vital Statistics, Center for Disease Control and Prevention, National Center for Health Statistics, Hyattsville, Maryland 20782, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Birth Certificates
Cesarean Section / utilization*
Female
Hispanic Americans / statistics & numerical data
Humans
Middle Aged
Parity
Pregnancy
Reoperation / utilization
Risk Factors
United States / epidemiology
Vaginal Birth after Cesarean / utilization*

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


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