ArticleEuropean journal of midwifery2025
Cesarean section trends from 1992 to 2023 in Estonia among singleton term pregnancies: A registry-based study.
Article in European journal of midwifery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Delivery mode and maternal health conditions before and after childbirth: A population-based cohort study from Estonia.Acta obstetricia et gynecologica Scandinavica · 2026Article
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5 authors.
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Abstract
introductionThe proportion of cesarean section (CS) deliveries has increased worldwide. This study aimed to analyze CS trends in Estonia from 1992 to 2023 in total and according to Robson 1+2 (nulliparous, single cephalic, ≥37 weeks, spontaneous labor, induced or CS before labor) and 5 (previous CS, single, cephalic, ≥37 weeks) criteria.
methodsData of all deliveries (n=446536) in Estonia from 1992 to 2023 were obtained from the Estonian Medical Birth Registry. During the study period, 73960 births ended in CS. Descriptive characteristics of the study population were divided into two periods (1992-2007 increasing trend; 2008-2023 stable trend). Robson 1+2 and 5 sub-groups were analyzed. Joinpoint regression was used to estimate the change in CS trends in Robson groups over time.
resultsThe total proportion of CS increased from 6.5% in 1992 to 20.9% in 2007 and remained stable after that. Robson 1+2 proportion increased from 5% to 21% in 2023, and Robson 5 decreased from 73% to 56%. In 2023, R1+R2 combined with R5 accounted for more than half (63%) of all CSs.
conclusionsThe increase in CS occurred primarily due to the increase in CS rates among nulliparous women with a singleton pregnancy at term. More attention must be given to nulliparous women to prevent CS and maintain vaginal births after CS. To improve the quality of maternity care, it is essential to monitor the indicators of CS based on Robson's criteria.
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