Evidence map›Paper›PMID 37344983›Full record

ArticleActa obstetricia et gynecologica Scandinavica2023

Cesarean section trends from 1992 to 2016 in Estonia and Finland: A registry-based study.

Kaire Sildver, Piret Veerus, Katrin Lang, Heti Pisarev, Mika Gissler

Abstract read
In one paragraph

Article in Acta obstetricia et gynecologica Scandinavica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Kaire SildverDepartment of Midwifery, Tallinn Health Care College, Tallinn, Estonia.ORCID 0000-0003-4306-2781
Piret VeerusNational Institute for Health Development, Tallinn, Estonia.ORCID 0000-0002-4769-0008
Katrin LangInstitute of Family Medicine and Public Health, Faculty of Medicine, University of Tartu, Tartu, Estonia.
Heti PisarevInstitute of Family Medicine and Public Health, Faculty of Medicine, University of Tartu, Tartu, Estonia.
Mika GisslerFinnish Institute for Health and Welfare THL, Helsinki, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe number of cesarean sections (CSs) has grown steadily, but the underlying factors driving this increase remain unknown. Data from Medical Birth Registries were retrieved to analyze CS trends in Estonia and Finland during the period 1992-2016. MATERIAL AND

methodsAll births in Estonia (n = 356 063) and Finland (n = 1 437 234) were included. The differences between Estonia and Finland in five-year time periods for the total CS rate, and rates in Robson 1, 2, and 5 groups (R1, R2, R5) were analyzed by logistic regression. Total CS rates were adjusted for birthweight, parity, previous CS, gestational age, singleton pregnancy, cephalic position, induction, mother's age. R1; R2; R5 rates were adjusted for birthweight and mother's age.

resultsIn Estonia, the proportion of CSs increased from 6.5% to 21.0% and in Finland from 15.1% to 16.8% between 1992 and 2016. In 2016, Estonia and Finland remained within the target value with their R1 + 2 (Estonia 18%; Finland 16%) and R5 (Estonia 59%; Finland 42%) values.

conclusionsComparing Robson groups in different countries can shed light on divergent CS rates and to improve the quality of perinatal and obstetric care.

Indexed as

Cesarean SectionBirth WeightEstoniaFemaleFinlandHumansParityPregnancyRegistriescesarean sectionEstoniaFinlandregistry-based dataRobson criteria

Identifiers

PMID37344983
PMCPMC10377989

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.