Nonclinical Parameters Affecting Primary Cesarean Rates in the United States

Haberman, Shoshana; Saraf, Sumit; Zhang, Jun; Landy, Helain J.; Branch, D. Ware; Burkman, Ronald T.; Gregory, Kimberly D.; Ramírez, Mildred; Bailit, Jennifer L.; González-Quintero, Víctor Hugo; Hibbard, Judith U.; Hoffman, Matthew; Kominiarek, Michelle A.; Li, Lu; Veldhuisen, Paul Van; Gruenigen, Vivian von

doi:10.1055/s-0033-1345263

Cited by 6 publications

(7 citation statements)

References 20 publications

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“…Caceres et al, 2013 36 risk factor for cesarean. 21 In this study, evening-hour births are correlated with cesarean birth.…”

Section: Resultsmentioning

confidence: 92%

“…19 Two of the studies used perinatal data registries: one prospective, institution level, perinatal data set; 20 and one multicenter perinatal data set using retrospective data extraction. 21 Two of the studies linked multiple data sets: one linked hospital birth certificate data with data from a state perinatal trust 22 ; and one linked birth certificate, Medicaid claims data, and Health Plan Employer Data and Information Set (HEDIS) reporting. 23 The studies include data from births occurring between 1996 and 2009.…”

Section: Characteristics Of Studies Reviewedmentioning

confidence: 99%

“…Two studies demonstrated the protective effect of being a teaching hospital on reduction of unwarranted variation, 18,22 while one study found teaching status to be correlated with increased cesarean births. 21 Two of the studies evaluated forprofit and non-profit status of the hospitals and determined in both cases that nonprofit status has a protective effect against overuse of cesarean birth in low-risk women. 17,22 Other organizational characteristics demonstrated to protect against inappropriate use of cesarean included having a certified nursery, a level III nursery, and perinatal specialists on staff.…”

Section: Supply-sensitive Variations In Cesarean Birthmentioning

confidence: 99%

“…In this sample, public insurance was an independent predictor of cesarean birth. 21 Finally, one study evaluated utilization of prenatal care as a supply-sensitive measure indicative of access to health care resources. In this study, having no prenatal care demonstrated a protective effect against overutilization of cesarean.…”

Section: Supply-sensitive Variations In Cesarean Birthmentioning

confidence: 99%

“…Rather, variation in utilization of cesarean in the low-risk childbearing population is a result of supplyand preference-sensitive factors. 15,[19][20][21][22][23][24]…”

Section: Higher Risk For Low-risk Womenmentioning

confidence: 99%

See 4 more Smart Citations

Unwarranted Variation in Utilization of Cesarean Birth Among Low‐Risk Childbearing Women

Jolles¹

2017

J Midwife Womens Health

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“…Caceres et al, 2013 36 risk factor for cesarean. 21 In this study, evening-hour births are correlated with cesarean birth.…”

Section: Resultsmentioning

confidence: 92%

Section: Characteristics Of Studies Reviewedmentioning

confidence: 99%

Section: Supply-sensitive Variations In Cesarean Birthmentioning

confidence: 99%

Section: Supply-sensitive Variations In Cesarean Birthmentioning

confidence: 99%

“…Rather, variation in utilization of cesarean in the low-risk childbearing population is a result of supplyand preference-sensitive factors. 15,[19][20][21][22][23][24]…”

Section: Higher Risk For Low-risk Womenmentioning

confidence: 99%

See 3 more Smart Citations

Unwarranted Variation in Utilization of Cesarean Birth Among Low‐Risk Childbearing Women

Jolles¹

2017

J Midwife Womens Health

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Regional differences in autism and intellectual disability risk associated with cesarean section delivery

Bilder,

Sullivan,

Hughes

et al. 2024

Autism Research

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Prior epidemiological studies investigating the association between delivery mode (i.e., vaginal birth and cesarean section [C‐section]) and autism spectrum disorder (ASD) and intellectual disability (ID) risk have reported mixed findings. This study examined ASD and ID risks associated with primary and repeat C‐section within diverse US regions. During even years 2000–2016, 8‐years‐olds were identified with ASD and/or ID and matched to birth records [ASD only (N = 8566, 83.6% male), ASD + ID (N = 3445, 79.5% male), ID only (N = 6158, 60.8% male)] using the Centers for Disease Control and Prevention's Autism and Developmental Disabilities Monitoring Network methodology. The comparison birth cohort (N = 1,456,914, 51.1% male) comprised all births recorded in the National Center for Health Statistics corresponding to birth years and counties in which surveillance occurred. C‐section rates in the birth cohort demonstrated significant regional variation with lowest rates in the West. Overall models demonstrate increased odds of disability associated with primary and repeat C‐section. Adjusted models, stratified by region, identified significant variability in disability likelihood associated with repeat C‐section: increased odds occurred for all case groups in the Southeast, for ASD only and ID only in the Mid‐Atlantic, and no case groups in the West. Regional variability in disability risk associated with repeat C‐section coincides with differences in birth cohorts' C‐section rates. This suggests increased likelihood of disability is not incurred by the procedure itself, but rather C‐section serves as a proxy for exposures with regional variability that influence fetal development and C‐section rates.

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Maternal education and racial/ethnic disparities in nulliparous, term, singleton, vertex cesarean deliveries in the United States

Eliner

Gulersen

Chervenak

et al. 2022

AJOG Global Reports

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Nonclinical Parameters Affecting Primary Cesarean Rates in the United States

Abstract: Cesarean rates are associated with several nonclinical factors. Further investigation into these factors might help to develop strategies to reduce their influence and hence the rates of cesarean.

Cited by 6 publications

References 20 publications

Unwarranted Variation in Utilization of Cesarean Birth Among Low‐Risk Childbearing Women

Unwarranted Variation in Utilization of Cesarean Birth Among Low‐Risk Childbearing Women

Regional differences in autism and intellectual disability risk associated with cesarean section delivery

Maternal education and racial/ethnic disparities in nulliparous, term, singleton, vertex cesarean deliveries in the United States

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