ArticleBMC pregnancy and childbirth2014
Varying gestational age patterns in cesarean delivery: an international comparison.
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 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Linking databases on perinatal health: a review of the literature and current practices in Europe.European journal of public health · 2016Pooled it
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- Article
- Association of timing of birth with mortality among preterm infants born in Canada.Journal of perinatology : official journal of the California Perinatal Association · 2021Article
- A Cross-Sectional Study to Assess the Frequency and Risk Factors Associated with Cesarean Section in Southern Punjab, Pakistan.International journal of environmental research and public health · 2021Article
- Using Robson's Ten-Group Classification System for comparing caesarean section rates in Europe: an analysis of routine data from the Euro-Peristat study.BJOG : an international journal of obstetrics and gynaecology · 2021Observational
- Cesarean section and pregnancy outcomes of preterm premature rupture of membranes under different fertility policies in China.Translational pediatrics · 2021Article
- Practical Experience of Establishing German Standard Level 1 Perinatal Center in Chongqing Health Care for Women and Children.Current medical science · 2020Article
- Social inequalities in the provision of obstetric services in Norway 1967-2009: a population-based cohort study.European journal of public health · 2020Article
- Risk of intellectual disability in children born appropriate-for-gestational-age at term or post-term: impact of birth weight for gestational age and gestational age.European journal of epidemiology · 2020Article
- Cesarean section does not affect neonatal outcomes of pregnancies complicated with preterm premature rupture of membranes.Chinese medical journal · 2020Article
- Prevalence and Associated Factors of Caesarean Section and its Impact on Early Initiation of Breastfeeding in Abu Dhabi, United Arab Emirates.Nutrients · 2019Article
- Perinatal factors affect the gut microbiota up to four years after birth.Nature communications · 2019Article
- International variations in the gestational age distribution of births: an ecological study in 34 high-income countries.European journal of public health · 2018Article
- A Critical Review of the Bacterial Baptism Hypothesis and the Impact of Cesarean Delivery on the Infant Microbiome.Frontiers in medicine · 2018Review
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15 authors.
Funding
Abstract
backgroundWhile international variations in overall cesarean delivery rates are well documented, less information is available for clinical sub-groups. Cesarean data presented by subgroups can be used to evaluate uptake of cesarean reduction policies or to monitor delivery practices for high and low risk pregnancies based on new scientific evidence. We studied differences and patterns in cesarean delivery rates by multiplicity and gestational age in Europe and the United States.
methodsThis study used routine aggregate data from 17 European countries and the United States on the number of singleton and multiple live births with cesarean versus vaginal delivery by week of gestation in 2008. Overall and gestation-specific cesarean delivery rates were analyzed. We computed rate differences to compare mode of delivery (cesarean vs vaginal birth) between selected gestational age groups and studied associations between rates in these subgroups namely: very preterm (26-31 weeks GA), moderate preterm (32-36 weeks GA), near term (37-38 weeks GA), term (39-41 weeks GA) and post-term (42+ weeks GA) births, using Spearman's rank tests.
resultsHigh variations in cesarean rates for singletons and multiples were observed everywhere. Rates for singletons varied from 15% in The Netherlands and Slovenia, to over 30% in the US and Germany. In singletons, rates were highest for very preterm births and declined to a nadir at 40 weeks of gestation, ranging from 8.0% in Sweden and Norway, to 22.5% in the US. These patterns differed across countries; the average rate difference between very preterm and term births was 43 percentage points, but ranged from 14% to 61%. High variations in rate differences were also observed for near term versus term births. For multiples, rates declined by gestational age in some countries, whereas in others rates were similar across all weeks of gestation. Countries' overall cesarean rates were highly correlated with gestation-specific subgroup rates, except for very preterm births.
conclusionsGestational age patterns in cesarean delivery were heterogeneous across countries; these differences highlight areas where consensus on best practices is lacking and could be used in developing strategies to reduce cesareans.
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