Cesarean delivery rates and obstetric culture - an Italian register-based study
| Autor: | Anna Locatelli, Patrizia Vergani, Cristina Plevani, Luca Merlino, Davide Del Sorbo, Armando Pintucci, Maddalena Incerti |
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| Přispěvatelé: | Plevani, C, Incerti, M, Del Sorbo, D, Pintucci, A, Vergani, P, Merlino, L, Locatelli, A |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Register based medicine.medical_specialty Cesarean Prenatal care Logistic regression Instrumental delivery Education 03 medical and health sciences 0302 clinical medicine Pregnancy Infant Mortality Humans Medicine Prospective Studies Registries 030212 general & internal medicine Practice Patterns Physicians' Cesarean delivery reproductive and urinary physiology Retrospective Studies Gynecology Cultural Characteristics 030219 obstetrics & reproductive medicine Cesarean Section business.industry Perinatal mortality Vaginal delivery Infant Obstetrics and Gynecology Prenatal Care General Medicine Obstetrics Italy Uterine Scar Female Apgar score business Delivery |
| Zdroj: | Acta Obstetricia et Gynecologica Scandinavica. 96:359-365 |
| ISSN: | 0001-6349 |
| DOI: | 10.1111/aogs.13063 |
| Popis: | Introduction Cesarean delivery rates are rising due to multiple factors, including less use of operative vaginal delivery and vaginal birth after cesarean delivery, which often reflect local obstetric practices. Objectives of the study were to analyze the relations between cesarean delivery, these practices, and perinatal outcomes. Material and methods We included all deliveries in the 72 hospitals of Lombardia, a region in northern Italy, during the year 2013. The delivery certificate was used as data source. Pearson's correlation coefficient and logistic regression were used for statistical analysis. Results We included 87 896 deliveries. The number of deliveries per hospital ranged from 140 to 6123. The rate of cesarean delivery was 28.3% (range 9.9–86.4%), operative vaginal delivery 4.7% (range 0.2–10.0%), and vaginal birth after cesarean 17.3% (range 0–79.2%). We found a significant inverse correlation between rates of overall cesarean delivery and operative vaginal delivery (r = −0.25, p = 0.04). The correlation between rate of overall cesarean delivery and vaginal birth after cesarean was also inverse and significant (r = −0.57, p < 0.001). There was no association between overall cesarean delivery rate and the rates of Apgar score at 5 min |
| Databáze: | OpenAIRE |
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