ArticleScientific reports2015
Trend in major neonatal and maternal morbidities accompanying the rise in the cesarean delivery rate.
Article in Scientific reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Risk factors for shoulder dystocia-related brachial plexus injuries: A case-control study.Acta obstetricia et gynecologica Scandinavica · 2026Article
- The Relationship Between Uterine Activity, Oxytocin Dosing, Labor Progress, and Mode of Birth in Nulliparas with Obesity: Minimal Usefulness of Montevideo Unit Measurement.Biological research for nursing · 2023Article
- Effectiveness of antimicrobial prophylaxis at 30 versus 60 min before cesarean delivery.Scientific reports · 2021Article
- Trend in cesarean delivery rate among twin pregnancies over a 20 years epoch and the accompanied maternal and perinatal outcomes.European journal of obstetrics & gynecology and reproductive biology: X · 2019Article
- Standardized outcome measures for pregnancy and childbirth, an ICHOM proposal.BMC health services research · 2018Article
- Risk factors for persistent disability in children with obstetric brachial plexus palsy.Journal of perinatology : official journal of the California Perinatal Association · 2017Article
- Trends in the aetiology of urogenital fistula: a case of 'retrogressive evolution'?International urogynecology journal · 2016Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim of the study was to explore a cesarean delivery rate (CDR) beyond which major neonatal and maternal morbidities may outweigh the benefits of the procedure itself. A retrospective population-based cohort study was conducted at a single university teaching hospital between 1993 and 2012. Pregnant women who delivered at a gestational age of 23 weeks or more were included. Data including delivery mode, brachial plexus injury (BPI), neonatal encephalopathy (NE), placenta accreta (PA), blood transfusion (BT), and cesarean hysterectomy (CH) for each year were extracted, plotted, and trends analyzed. The Cochran-Armitage Trend Test was used to identify trends and correlations. Overall, 83,806 deliveries took place during this period. CDR increased from 10.9% to 21.7% (p < 0.001). Significant decreases in the incidence of BPI (p < 0.001) and NE (p = 0.006) were observed. At CDRs of 13.6% and 20%, there was no further significant decrease in the incidence of BPI and NE, respectively. The incidence of BT increased significantly (p < 0.001) while the increase in the incidence of PA was not significant (p = 0.06) nor the change in the incidence of CH (p = 0.4). A CDR of 20% may still confirm additional beneficial effect on major perinatal morbidities without a significant increase in the incidence of PA.
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