Contemporary Trends in Cesarean Delivery Rates and Indications
| Autor: | Sara Jaber, Christina Blanchard, Michelle Y. Lu, Gabriella D Cozzi, Brian M. Casey, Alan Tita, Dhong-Jin Kim, Jeff M Szychowski, Akila Subramaniam |
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| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | American Journal of Perinatology. |
| ISSN: | 1098-8785 0735-1631 2013-2018 |
| DOI: | 10.1055/a-2097-1958 |
| Popis: | Objective: To describe cesarean delivery rates and indications at a single center in order to assess the impact of the guidelines published by the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine on trends in labor management. Study Design: Retrospective cohort study of patients ≥23 weeks' gestation delivering at a single tertiary care referral center from 2013-2018. Demographic characteristics, mode of delivery, and main indication for cesarean delivery were ascertained by individual chart review. Cesarean delivery indications (mutually exclusive) were: repeat cesarean delivery, non-reassuring fetal status, malpresentation, maternal indications (e.g., placenta previa or genital herpes simplex virus), failed labor (any stage labor arrest), or other (i.e., fetal anomaly, elective). Polynomial (cubic) regression models were used to model rates of cesarean delivery and indications over time. Subgroup analyses further examined trends in nulliparous women. Results: Of the 24,637 patients delivered during the study period, 24,050 were included in the analysis; 7,835 (32.6%) had a cesarean delivery. The rates of overall cesarean delivery were significantly different over time (p |
| Databáze: | OpenAIRE |
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