Document Detail

Unnecessary cesarean delivery in Louisiana: an analysis of birth certificate data.
MedLine Citation:
PMID:  14749628     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The purpose of this study was to explore the temporal trends and factors that are associated with cesarean deliveries and potentially unnecessary cesarean deliveries. STUDY DESIGN: The Louisiana birth certificate database was evaluated to identify a total of 57 potential indications/risk factors and maternal demographic factors that are associated with methods of delivery over the period from January 1993 to December 2000. A cesarean delivery without any potential indications/risk factors in the birth certificate was classified as unnecessary. RESULTS: The primary cesarean delivery rate decreased and the repeat cesarean delivery rate increased significantly during the study period. But neither the absence nor the presence of potential indications/risk factors accounted for these changes. The average potentially unnecessary primary and repeat cesarean deliveries in Louisiana were 17 and 43, respectively, per 100 cesarean deliveries over the years 1993 through 2000. CONCLUSION: The proportions of potentially unnecessary cesarean deliveries are relatively high in Louisiana. It is important to explore the influence of nonclinical factors on unnecessary cesarean delivery to reduce the cesarean rates.
Azad A Kabir; William C Steinmann; Leann Myers; M M Khan; Eduardo A Herrera; Shenkang Yu; Nuruddin Jooma
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  190     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2004-01-29     Completed Date:  2004-02-25     Revised Date:  2005-03-10    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  10-9; discussion 3A     Citation Subset:  AIM; IM    
Tulane Center for Clinical Effectiveness and Prevention, Tulane University School of Public Health, New Orleans, LA 70112, USA.
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MeSH Terms
Birth Certificates
Cesarean Section / statistics & numerical data*
Cesarean Section, Repeat
Cross-Sectional Studies
European Continental Ancestry Group
Likelihood Functions
Maternal Age
Multivariate Analysis
Odds Ratio
Pregnancy, High-Risk
Risk Factors
Unnecessary Procedures / statistics & numerical data*
Comment In:
Am J Obstet Gynecol. 2005 Feb;192(2):660-1; author reply 661   [PMID:  15696022 ]

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

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