Rates of cesarean section and perinatal outcome: stillbirths

Ganesh, Vijaya; Apuzzio, Joseph J.; Nimmo, Ronald A.; Zentay, Zoltan; Taylor, Udele; Iffy, Leslie

doi:10.1016/0028-2243(93)90160-e

European Journal of Obstetrics & Gynecology and Reproductiv

1993

DOI: 10.1016/0028-2243(93)90160-e

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Rates of cesarean section and perinatal outcome: stillbirths

Vijaya Ganesh¹,

Joseph J. Apuzzio²,

Ronald A. Nimmo³

et al.

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Cited by 4 publications

(3 citation statements)

References 12 publications

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“…In general, both an expansion of the medical indications for its use (7,8) and a liberalization of the threshold for these indications appear to have occurred over time (9). In response to these changes and also to the rise in nonmedically indicated cesareans, various means of classifying cesareans were developed.…”

mentioning

confidence: 99%

Recommendations for Routine Reporting on Indications for Cesarean Delivery in Developing Countries

Stanton¹,

Ronsmans²

2008

Birth

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mentioning

confidence: 99%

Recommendations for Routine Reporting on Indications for Cesarean Delivery in Developing Countries

Stanton¹,

Ronsmans²

2008

Birth

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“…The findings indicated that the neonatal survival rates were not improved by the relatively high rate (17.5%) of abdominal deliveries in Newark. On the other hand, we were able to report statistically significant differences in favor of the Perinatal Center in Newark in terms of in utero fetal losses (14).…”

mentioning

confidence: 69%

Rates of cesarean section and perinatal outcome: Perinatal mortality

Iffy¹,

Apuzzio²,

Mitra³

et al. 1994

Acta Obstet Gynecol Scand

Self Cite

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A comparison of relevant statistics from National Maternity Hospital, Dublin, Ireland and University Hospital, Newark, New Jersey, USA, for the years 1983-1989, revealed that after removal of major confounding factors, such as a fourfold difference in < 2500 gram births and an about tenfold discrepancy in the frequency of lethal congenital defects, the perinatal survival rates in all weight categories were significantly higher in the American center. The findings suggest that optimum perinatal results could not be achieved in an American high risk center with the approximately 6% abdominal delivery rate favored in Dublin. The same data also suggest, however, that the 17.5% rate of abdominal deliveries in Newark was unnecessarily high. The favorable impact of the relatively liberal use of cesarean section might have been derived in this study from a marked reduction of in utero losses, in the absence of an identifiable effect upon the rate of neonatal mortality.

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“…Developed countries historically have used data on medical indications for cesarean delivery to understand retrospectively the dramatic increases seen in its use (4)(5)(6). In general, both an expansion of the medical indications for its use (7,8) and a liberalization of the threshold for these indications appear to have occurred over time (9). In response to these changes and also to the rise in nonmedically indicated cesareans, various means of classifying cesareans were developed.…”

mentioning

confidence: 99%

The Seven Stages of Ignorance

Enkin

2008

Birth

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Background: Cesarean delivery rates are increasing rapidly in many developing countries, particularly among wealthy women. Poor women have lower rates, often so low that they do not reach the minimum rate of 1 percent. Little data are available on clinical indications for cesarean section, information that could assist in understanding why cesarean delivery rates have changed. This paper presents recommendations for routine reporting on indications for cesarean delivery in developing countries. These recommendations resulted from an international consultation of researchers held in February 2006 to promote the collection of comparable data to understand change in, or composition of, the cesarean delivery rate in developing countries. Methods: Data are presented from selected countries, categorizing cesareans by three classification systems. Results: A single classification system was recommended for use in both high and low cesarean delivery rate settings, given that underuse and overuse of cesarean section are evident within many populations. The group recommended a hierarchical categorization, prioritizing cesareans performed for absolute maternal indications. Categorization among the remaining nonabsolute indications is based on the primary indication for the procedure and include maternal and fetal indications and psychosocial indications, required for high cesarean delivery rate settings. Conclusions: Data on indications for cesarean sections are available everywhere the procedure is performed. All that is required is compilation and review at facility and at higher levels. Advocacy within ministries of health and medical professional organizations is required to advance these recommendations since researchers have inadequately communicated the health effects of both underuse and overuse of cesarean delivery.Cesarean delivery rates are rising in many developing countries (1). The cesarean delivery rate for developing countries in 2002 was recently reported at 14 percent, with some Latin American and Asian countries reporting rates between 30 and 40 percent (2). Furthermore, some extreme socioeconomic

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Rates of cesarean section and perinatal outcome: stillbirths

Cited by 4 publications

References 12 publications

Recommendations for Routine Reporting on Indications for Cesarean Delivery in Developing Countries

Recommendations for Routine Reporting on Indications for Cesarean Delivery in Developing Countries

Rates of cesarean section and perinatal outcome: Perinatal mortality

The Seven Stages of Ignorance

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