ArticleBirth (Berkeley, Calif.)2022
Factors associated with cesarean birth in nulliparous women: A multicenter prospective cohort study.
Article in Birth (Berkeley, Calif.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 17 citations in OpenAlex.
- Prevalence, indications, and preference of caesarean section deliveries among women attending primary health care units in Port-Said City, Egypt.The Journal of the Egyptian Public Health Association · 2026Article
- Comfort or necessity: obstetricians' perspectives on the drivers, consequences, and recommendations for reducing caesarean section rates in Turkey.BMC pregnancy and childbirth · 2026Article
- The psychological impact of childbirth: Unscheduled cesarean delivery associates with increased risk for acute stress response.Pregnancy (Hoboken, N.J.) · 2026Article
- Implementation of the Robson classification for caesarean sections in Israel: a 10-year cross-sectional study.Israel journal of health policy research · 2025Article
- Trends in induction of labour and associated co-morbidities and demographics in Queensland, Australia from 2001 to 2020: a population-based study.BMC pregnancy and childbirth · 2025Article
- How structured cultural changes can reduce cesarean section rate in a Danish tertiary hospital.PloS one · 2025Article
- Article
- A Prospective Evaluation of Health Literacy Levels of Pregnant Women in Antenatal Classes: Impact on Delivery Outcomes in Nulliparous and Multiparous Women.Diagnostics (Basel, Switzerland) · 2024Article
- Optimizing caesarean section use and feasibility of implementing the Robson classification system: Perspectives of healthcare providers and policymakers.SAGE open medicine · 2024Article
- Maternal and neonatal outcomes associated with multiple repeat cesarean deliveries: A registry-based study from Qatar.Qatar medical journal · 2024Article
- Association of Maternal Risk Factors with the Prevalence of Caesarean Section Deliveries: A Cross-Sectional Study.Medical sciences (Basel, Switzerland) · 2023Article
- Indications of Induction and Caesarean Sections Performed Using the Robson Classification in a University Hospital in Spain from 2010 to 2021.Healthcare (Basel, Switzerland) · 2023Article
- Factors associated with cesarean birth in nulliparous women: A multicenter prospective cohort study.Birth (Berkeley, Calif.) · 2022Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is widespread concern around the rising rates of cesarean births (CBs), especially among first-time mothers, despite evidence suggesting increased morbidities after birth by cesarean. There are uncertainties around factors associated with rising rates of CBs among first-time mothers in Ireland, and insight into these is essential for understanding the rising trend in CBs. Therefore, this study aimed to identify the factors associated with CBs in nulliparous women.
methodsA prospective cohort study was conducted in three maternity hospitals in the Republic of Ireland between 2012 and 2017. Data were collected from 3047 nulliparous women using self-administered surveys antenatally and at 3 months postpartum and from consenting women's hospital records (n = 2755) and analyzed using the Poisson regression to assess associations between demographic and clinical factors and the main outcome measures, planned and unplanned CBs.
resultsCommon risk factors for planned and unplanned CBs were being aged ≥40 years, being in private care, multiple pregnancy, and fetus in breech or other malpresentations. An unplanned CB occurred for 22.43% (n = 377/1681) of women who did not have induction of labor (IOL) or who had IOL with no epidural, but the risk was about twice as high for women who had IOL and epidural.
conclusionsFindings confirm multifactorial reasons for CB and the challenge of reversing the increasing CB rate if maternal age, overweight/obesity, infertility treatment, multiple pregnancy, and preexisting hypertension in Ireland continue to increase. There is a need to address prelabor interventions, especially IOL combined with epidural analgesia with respect to unplanned CB.
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