ArticleMaternal and child health journal2015
Determinants of cesarean delivery in the US: a lifecourse approach.
Article in Maternal and child health journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effects of Prenatal Breastfeeding Education on Breastfeeding Duration Beyond 12 Weeks: A Systematic Review.Health education & behavior : the official publication of the Society for Public Health Education · 2024Pooled it
- Impact of an educational program and decision tool on choice of maternity hospital: the delivery decisions randomized clinical trial.BMC pregnancy and childbirth · 2022Trial
- Does comparing cesarean delivery rates influence women's choice of obstetric hospital?The American journal of managed care · 2019Trial
- Cesarean Section Rates and Mobile Health's Role in Equitable Access to Prenatal Care.International journal of environmental research and public health · 2026Article
- Racial inequities in cesarean use among high- and low-risk deliveries: An analysis of childbirth hospitalizations in New Jersey from 2000 to 2015.Health services research · 2025Article
- Women's preferences, impacts, and satisfaction with companion support during labour and delivery experiences in Oman.Frontiers in global women's health · 2025Article
- Trends in Postpartum Hemorrhage Prevalence and Comorbidity Burden: Insights from the ENACT Network Aggregated Electronic Health Record Data.Research square · 2024Article
- Pregnancy After Bariatric Surgery-Experience from a Tertiary Center.Obesity surgery · 2024Observational
- The Effect of Obesity and Pregnancy Weight Gain on Maternal and Child Health.Journal of obesity · 2024Article
- The Importance of a Healthy Microbiome in Pregnancy and Infancy and Microbiota Treatment to Reverse Dysbiosis for Improved Health.Antibiotics (Basel, Switzerland) · 2023Review
- Preterm Birth and Other Measures of Infant Biological Vulnerability: Associations with Maternal Sensitivity and Infant Cognitive Development.Maternal and child health journal · 2023Article
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- Article
- Preterm neonatal immunology at the intestinal interface.Cellular and molecular life sciences : CMLS · 2020Review
- Elective and nonelective cesarean section and obesity among young adult male offspring: A Swedish population-based cohort study.PLoS medicine · 2019Article
- Article
- "Under the Skin" and into the Gut: Social Epidemiology of the Microbiome.Current epidemiology reports · 2018Review
- Rates and Predictors of Caesarean Section for First and Second Births: A Prospective Cohort of Australian Women.Maternal and child health journal · 2017Article
- Teaching University Students About Evidence-Based Perinatal Care: Effects on Learning and Future Care Preferences.The Journal of perinatal education · 2017Article
- Socio-demographic predictors and average annual rates of caesarean section in Bangladesh between 2004 and 2014.PloS one · 2017Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
This study takes a lifecourse approach to understanding the factors contributing to delivery methods in the US by identifying preconception and pregnancy-related determinants of medically indicated and non-medically indicated cesarean section (C-section) deliveries. Data are from the Early Childhood Longitudinal Study-Birth Cohort, a nationally representative, population-based survey of women delivering a live baby in 2001 (n = 9,350). Three delivery methods were examined: (1) vaginal delivery (reference); (2) medically indicated C-section; and (3) non-medically indicated C-sections. Using multinomial logistic regression, we examined the role of sociodemographics, health, healthcare, stressful life events, pregnancy complications, and history of C-section on the odds of medically indicated and non-medically indicated C-sections, compared to vaginal delivery. 74.2 % of women had a vaginal delivery, 11.6 % had a non-medically indicated C-section, and 14.2 % had a medically indicated C-section. Multivariable analyses revealed that prior C-section was the strongest predictor of both medically indicated and non-medically indicated C-sections. However, we found salient differences between the risk factors for indicated and non-indicated C-sections. Surgical deliveries continue to occur at a high rate in the US despite evidence that they increase the risk for morbidity and mortality among women and their children. Reducing the number of non-medically indicated C-sections is warranted to lower the short- and long-term risks for deleterious health outcomes for women and their babies across the lifecourse. Healthcare providers should address the risk factors for medically indicated C-sections to optimize low-risk delivery methods and improve the survival, health, and well-being of children and their mothers.
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Registered trials
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