ArticleBMC pregnancy and childbirth2019
An ecological study of geographic variation and factors associated with cesarean section rates in South Korea.
Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Attitude and subjective norms as predictors of intention of married men and women to accept caesarean section delivery in Lagos, Nigeria.Reproductive health · 2026Article
- Prevalence and factors associated with caesarean section among Tanzanian women of reproductive age: evidence from the 2022 Tanzania demographic and health survey data.BMC public health · 2025Article
- Temporal trends and associated factors in cesarean section use in the Philippines: an analysis of Demographic and Health Survey data from 1993 to 2017.BMC pregnancy and childbirth · 2025Article
- Prevalence and determinants of socioeconomic inequality in caesarean section deliveries in Bangladesh: an analysis of cross-sectional data from Bangladesh Demographic Health Survey, 2017-18.BMC pregnancy and childbirth · 2023Article
- Pregnancy Outcomes Associated With Biologic Agent Exposure in Patients With Several Rheumatic Diseases and Inflammatory Bowel Diseases.Journal of Korean medical science · 2023Article
- Geographic Distribution of Central Nervous System Rehabilitation Treatment in Korea and Its Associated Factors.Journal of Korean medical science · 2023Article
- Ritodrine in external cephalic version: is it effective and safe?Obstetrics & gynecology science · 2022Article
- Geospatial analysis of cesarean section in Iran (2016-2020): exploring clustered patterns and measuring spatial interactions of available health services.BMC pregnancy and childbirth · 2022Article
- General anesthesia for cesarean section: are we doing it well?Anesthesia and pain medicine · 2022Review
- How Can We Adopt the Glucose Tolerance Test to Facilitate Predicting Pregnancy Outcome in Gestational Diabetes Mellitus?Endocrinology and metabolism (Seoul, Korea) · 2021Article
- Analysis of the Referral Rates of Newborn Hearing Screening Test According to Childbirth Delivery Methods in Neonatal Care Units.Journal of clinical medicine · 2021Article
- Trends and correlates of cesarean section rates over two decades in Nepal.BMC pregnancy and childbirth · 2020Article
- Factors associated with the rates of coronary artery bypass graft and percutaneous coronary intervention.BMC cardiovascular disorders · 2019Article
- Geographic variation and factors associated with rates of knee arthroplasty in Korea-a population based ecological study.BMC musculoskeletal disorders · 2019Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundKorea is in a condition where the impact of patient and supplier factors on cesarean section rates can be clearly described. The cesarean section rates in Korea are among the highest in the world while the number of obstetricians is decreasing sharply. This study aimed to investigate the geographic variation in cesarean section rates in Korea and its factors.
methodsThe data were obtained from the National Health Insurance database in Korea in 2013. We calculated the age-standardized and crude cesarean section rates of 251 districts in Korea and variation statistics. A linear regression analysis was performed to determine factors for cesarean section rates.
resultsThe overall cesarean section rate in Korea was 364.6 cases per 1000 live births. The deprivation index score was strongly associated with the increase in the cesarean section rate while the density of hospital obstetricians and hospital beds showed a negative association. Average maternal age and total fertility rate showed a negative relationship with the cesarean section rate.
conclusionsKorea is suffering from a continuing decrease in obstetricians. Our study shows that this decline has more of an effect on mothers in the disadvantaged areas. Securing equal access to obstetric care among areas is necessary, and measures to encourage obstetricians and mothers not to opt for cesarean section are required.
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