ArticleBMC pregnancy and childbirth2014
Influence of delivery characteristics and socioeconomic status on giving birth by caesarean section - a cross sectional study during 2000-2010 in Finland.
Article in BMC pregnancy and childbirth, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 54 citations in OpenAlex.
- Prevalence of and reasons for women's, family members', and health professionals' preferences for cesarean section in Iran: a mixed-methods systematic review.Reproductive health · 2021Pooled it
- Maternal, Labor, Delivery, and Perinatal Outcomes Associated with Placental Abruption: A Systematic Review.American journal of perinatology · 2017Pooled it
- Breastfeeding effects on DNA methylation in the offspring: A systematic literature review.PloS one · 2017Pooled it
- Individual-family and social predictors of fear of childbirth in nulliparous pregnant women in Amol, Iran.BMC pregnancy and childbirth · 2025Article
- How does high socioeconomic status affect maternal and neonatal pregnancy outcomes? A population-based study among American women.European journal of obstetrics & gynecology and reproductive biology: X · 2023Article
- Making the cut on caesarean section: a logistic regression analysis on factors favouring caesarean sections without medical indication in comparison to spontaneous vaginal birth.BMC pregnancy and childbirth · 2023Article
- Factors Associated with High Rates of Caesarean Deliveries: A Cross Sectional Study Classifying Deliveries According to Robson in Mengo Hospital Kampala.Risk management and healthcare policy · 2023Article
- Article
- Busy day effect on the use of obstetrical interventions and epidural analgesia during labour: a cross-sectional register study of 601 247 deliveries.BMC pregnancy and childbirth · 2022Article
- Fear of Childbirth in Nulliparous Women.Frontiers in psychology · 2022Article
- Article
- Socioeconomic inequalities in the use of caesarean section delivery in Ghana: a cross-sectional study using nationally representative data.International journal for equity in health · 2019Article
- Singleton pregnancies after in vitro fertilization in Estonia: a register-based study of complications and adverse outcomes in relation to the maternal socio-demographic background.BMC pregnancy and childbirth · 2019Article
- Blue-collar work and women's health: A systematic review of the evidence from 1990 to 2015.SSM - population health · 2018Article
- Outcome of caesarean section at the Edward Francis Small Teaching Hospital, Banjul The Gambia.African health sciences · 2018Article
- Disparities in the use of mobile phone for seeking childbirth services among women in the urban areas: Bangladesh Urban Health Survey.BMC medical informatics and decision making · 2017Article
- Neonatal Outcomes Associated With Placental Abruption.American journal of epidemiology · 2017Observational
- The MATEX cohort - a Finnish population register birth cohort to study health effects of prenatal exposures.BMC public health · 2017Article
- Caesarean birth rates in public and privately funded hospitals: a cross-sectional study.Revista de saude publica · 2017Article
- The Increasing Trend in Caesarean Section Rates: Global, Regional and National Estimates: 1990-2014.PloS one · 2016Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 3 countries.
Funding
Abstract
backgroundCaesarean section (CS) rates especially without medical indication are rising worldwide. Most of indications for CS are relative and CS rates for various indications vary widely. There is an increasing tendency to perform CSs without medical indication on maternal request. Women with higher socioeconomic status (SES) are more likely to give birth by CS. We aimed to study whether giving birth by CS was associated with SES and other characteristics among singleton births during 2000-2010 in Finland with publicly funded health care.
methodsData were gathered from the Finnish Medical Birth Register. The likelihood of giving birth by CS according to CS type (planned and non-planned), parity (nulliparous vs. multiparous), socio-demographic factors, delivery characteristics and time periods (2000-2003, 2004-2007 and 2008-2010) was determined by using logistic regression analysis. SES was classified as upper white collar workers (highest SES), lower white collar workers, blue collar workers (lowest SES), others (all unclassifiable cases) and cases with missing information.
resultsIn total, 19.8% (51,511 of 259,736) of the nulliparous women and 13.1% (47,271 of 360,727) of the multiparous women gave birth by CS. CS was associated with several delivery characteristics, such as placental abruption, placenta previa, birth weight and fear of childbirth, among both parity groups. After adjustment, the likelihood of giving birth by planned CS was reduced by 40% in nulliparous and 55% in multiparous women from 2000-2003 to 2008-2010, whereas the likelihood of non-planned CSs did not change. Giving birth by planned and non-planned CS was up to 9% higher in nulliparous women and up to 17% higher in multiparous women in the lowest SES groups compared to the highest SES group.
conclusionsGiving birth by CS varied by clinical indications. Women with the lowest SES were more likely to give birth by CS, indicating that the known social disparity in pregnancy complications increases the need for operative deliveries in these women. Overall, the CS policy in Finland shows favoring a trial of labor over planned CS and reflects no inequity in healthcare services.
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