Unnecessary cesarean delivery in Louisiana: an analysis of birth certificate data
The purpose of this study was to explore the temporal trends and factors that are associated with cesarean deliveries and potentially unnecessary cesarean deliveries. The Louisiana birth certificate database was evaluated to identify a total of 57 potential indications/risk factors and maternal demo...
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| Veröffentlicht in: | American journal of obstetrics and gynecology 2004, Vol.190 (1), p.10-19 |
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| container_title | American journal of obstetrics and gynecology |
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| creator | Kabir, Azad A Steinmann, William C Myers, Leann Khan, M.M Herrera, Eduardo A Yu, Shenkang Jooma, Nuruddin |
| description | The purpose of this study was to explore the temporal trends and factors that are associated with cesarean deliveries and potentially unnecessary cesarean deliveries.
The Louisiana birth certificate database was evaluated to identify a total of 57 potential indications/risk factors and maternal demographic factors that are associated with methods of delivery over the period from January 1993 to December 2000. A cesarean delivery without any potential indications/risk factors in the birth certificate was classified as unnecessary.
The primary cesarean delivery rate decreased and the repeat cesarean delivery rate increased significantly during the study period. But neither the absence nor the presence of potential indications/risk factors accounted for these changes. The average potentially unnecessary primary and repeat cesarean deliveries in Louisiana were 17 and 43, respectively, per 100 cesarean deliveries over the years 1993 through 2000.
The proportions of potentially unnecessary cesarean deliveries are relatively high in Louisiana. It is important to explore the influence of nonclinical factors on unnecessary cesarean delivery to reduce the cesarean rates. |
| doi_str_mv | 10.1016/j.ajog.2003.07.009 |
| format | Article |
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The Louisiana birth certificate database was evaluated to identify a total of 57 potential indications/risk factors and maternal demographic factors that are associated with methods of delivery over the period from January 1993 to December 2000. A cesarean delivery without any potential indications/risk factors in the birth certificate was classified as unnecessary.
The primary cesarean delivery rate decreased and the repeat cesarean delivery rate increased significantly during the study period. But neither the absence nor the presence of potential indications/risk factors accounted for these changes. The average potentially unnecessary primary and repeat cesarean deliveries in Louisiana were 17 and 43, respectively, per 100 cesarean deliveries over the years 1993 through 2000.
The proportions of potentially unnecessary cesarean deliveries are relatively high in Louisiana. It is important to explore the influence of nonclinical factors on unnecessary cesarean delivery to reduce the cesarean rates.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/j.ajog.2003.07.009</identifier><identifier>PMID: 14749628</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>Philadelphia, PA: Mosby, Inc</publisher><subject>Biological and medical sciences ; Birth certificate data ; Birth Certificates ; Cesarean Section - statistics & numerical data ; Cesarean Section, Repeat ; Cross-Sectional Studies ; European Continental Ancestry Group ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; Likelihood Functions ; Louisiana ; Marriage ; Maternal Age ; Medical sciences ; Multivariate Analysis ; Odds Ratio ; Pregnancy ; Pregnancy, High-Risk ; Primary cesarean delivery ; Repeat cesarean delivery ; Risk Factors ; Unnecessary cesarean delivery ; Unnecessary Procedures - statistics & numerical data</subject><ispartof>American journal of obstetrics and gynecology, 2004, Vol.190 (1), p.10-19</ispartof><rights>2004 Elsevier Inc.</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c382t-d24e9b004c52658f4364156c7f7b1476e687b6253c0df4c6b5b7144a2b5611c43</citedby><cites>FETCH-LOGICAL-c382t-d24e9b004c52658f4364156c7f7b1476e687b6253c0df4c6b5b7144a2b5611c43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ajog.2003.07.009$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,4010,27904,27905,27906,45976</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15482246$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14749628$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kabir, Azad A</creatorcontrib><creatorcontrib>Steinmann, William C</creatorcontrib><creatorcontrib>Myers, Leann</creatorcontrib><creatorcontrib>Khan, M.M</creatorcontrib><creatorcontrib>Herrera, Eduardo A</creatorcontrib><creatorcontrib>Yu, Shenkang</creatorcontrib><creatorcontrib>Jooma, Nuruddin</creatorcontrib><title>Unnecessary cesarean delivery in Louisiana: an analysis of birth certificate data</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>The purpose of this study was to explore the temporal trends and factors that are associated with cesarean deliveries and potentially unnecessary cesarean deliveries.
The Louisiana birth certificate database was evaluated to identify a total of 57 potential indications/risk factors and maternal demographic factors that are associated with methods of delivery over the period from January 1993 to December 2000. A cesarean delivery without any potential indications/risk factors in the birth certificate was classified as unnecessary.
The primary cesarean delivery rate decreased and the repeat cesarean delivery rate increased significantly during the study period. But neither the absence nor the presence of potential indications/risk factors accounted for these changes. The average potentially unnecessary primary and repeat cesarean deliveries in Louisiana were 17 and 43, respectively, per 100 cesarean deliveries over the years 1993 through 2000.
The proportions of potentially unnecessary cesarean deliveries are relatively high in Louisiana. It is important to explore the influence of nonclinical factors on unnecessary cesarean delivery to reduce the cesarean rates.</description><subject>Biological and medical sciences</subject><subject>Birth certificate data</subject><subject>Birth Certificates</subject><subject>Cesarean Section - statistics & numerical data</subject><subject>Cesarean Section, Repeat</subject><subject>Cross-Sectional Studies</subject><subject>European Continental Ancestry Group</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Likelihood Functions</subject><subject>Louisiana</subject><subject>Marriage</subject><subject>Maternal Age</subject><subject>Medical sciences</subject><subject>Multivariate Analysis</subject><subject>Odds Ratio</subject><subject>Pregnancy</subject><subject>Pregnancy, High-Risk</subject><subject>Primary cesarean delivery</subject><subject>Repeat cesarean delivery</subject><subject>Risk Factors</subject><subject>Unnecessary cesarean delivery</subject><subject>Unnecessary Procedures - statistics & numerical data</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kF1LwzAUhoMobk7_gBfSG71rPUnTJBVvZPgFAxHcdUjTU83o2pl0g_17MzbYnVcvSZ73cPIQck0ho0DF_SIzi_47YwB5BjIDKE_ImEIpU6GEOiVjAGBpmUs1IhchLHZHVrJzMqJc8lIwNSaf865DiyEYv01iGo-mS2ps3QbjjeuSWb92wZnOPCTxJWa7DS4kfZNUzg8_seQH1zhrBkxqM5hLctaYNuDVISdk_vL8NX1LZx-v79OnWWpzxYa0ZhzLCoDbgolCNTwXnBbCykZWcT2BQslKsCK3UDfciqqoJOXcsKoQlFqeT8jdfu7K979rDINeumCxbU2H_TpoBZTlIGgE2R60vg_BY6NX3i3jfzUFvROpF3onUu9EapA6ioylm8P0dbXE-lg5mIvA7QEwwZq28aazLhy5givGuIjc457D6GLj0OtgHXYWa-fRDrru3X97_AENfpBp</recordid><startdate>2004</startdate><enddate>2004</enddate><creator>Kabir, Azad A</creator><creator>Steinmann, William C</creator><creator>Myers, Leann</creator><creator>Khan, M.M</creator><creator>Herrera, Eduardo A</creator><creator>Yu, Shenkang</creator><creator>Jooma, Nuruddin</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2004</creationdate><title>Unnecessary cesarean delivery in Louisiana: an analysis of birth certificate data</title><author>Kabir, Azad A ; Steinmann, William C ; Myers, Leann ; Khan, M.M ; Herrera, Eduardo A ; Yu, Shenkang ; Jooma, Nuruddin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c382t-d24e9b004c52658f4364156c7f7b1476e687b6253c0df4c6b5b7144a2b5611c43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Biological and medical sciences</topic><topic>Birth certificate data</topic><topic>Birth Certificates</topic><topic>Cesarean Section - statistics & numerical data</topic><topic>Cesarean Section, Repeat</topic><topic>Cross-Sectional Studies</topic><topic>European Continental Ancestry Group</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Likelihood Functions</topic><topic>Louisiana</topic><topic>Marriage</topic><topic>Maternal Age</topic><topic>Medical sciences</topic><topic>Multivariate Analysis</topic><topic>Odds Ratio</topic><topic>Pregnancy</topic><topic>Pregnancy, High-Risk</topic><topic>Primary cesarean delivery</topic><topic>Repeat cesarean delivery</topic><topic>Risk Factors</topic><topic>Unnecessary cesarean delivery</topic><topic>Unnecessary Procedures - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kabir, Azad A</creatorcontrib><creatorcontrib>Steinmann, William C</creatorcontrib><creatorcontrib>Myers, Leann</creatorcontrib><creatorcontrib>Khan, M.M</creatorcontrib><creatorcontrib>Herrera, Eduardo A</creatorcontrib><creatorcontrib>Yu, Shenkang</creatorcontrib><creatorcontrib>Jooma, Nuruddin</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kabir, Azad A</au><au>Steinmann, William C</au><au>Myers, Leann</au><au>Khan, M.M</au><au>Herrera, Eduardo A</au><au>Yu, Shenkang</au><au>Jooma, Nuruddin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unnecessary cesarean delivery in Louisiana: an analysis of birth certificate data</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2004</date><risdate>2004</risdate><volume>190</volume><issue>1</issue><spage>10</spage><epage>19</epage><pages>10-19</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>The purpose of this study was to explore the temporal trends and factors that are associated with cesarean deliveries and potentially unnecessary cesarean deliveries.
The Louisiana birth certificate database was evaluated to identify a total of 57 potential indications/risk factors and maternal demographic factors that are associated with methods of delivery over the period from January 1993 to December 2000. A cesarean delivery without any potential indications/risk factors in the birth certificate was classified as unnecessary.
The primary cesarean delivery rate decreased and the repeat cesarean delivery rate increased significantly during the study period. But neither the absence nor the presence of potential indications/risk factors accounted for these changes. The average potentially unnecessary primary and repeat cesarean deliveries in Louisiana were 17 and 43, respectively, per 100 cesarean deliveries over the years 1993 through 2000.
The proportions of potentially unnecessary cesarean deliveries are relatively high in Louisiana. It is important to explore the influence of nonclinical factors on unnecessary cesarean delivery to reduce the cesarean rates.</abstract><cop>Philadelphia, PA</cop><pub>Mosby, Inc</pub><pmid>14749628</pmid><doi>10.1016/j.ajog.2003.07.009</doi><tpages>10</tpages></addata></record> |
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| ispartof | American journal of obstetrics and gynecology, 2004, Vol.190 (1), p.10-19 |
| issn | 0002-9378 1097-6868 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Biological and medical sciences Birth certificate data Birth Certificates Cesarean Section - statistics & numerical data Cesarean Section, Repeat Cross-Sectional Studies European Continental Ancestry Group Female Gynecology. Andrology. Obstetrics Humans Likelihood Functions Louisiana Marriage Maternal Age Medical sciences Multivariate Analysis Odds Ratio Pregnancy Pregnancy, High-Risk Primary cesarean delivery Repeat cesarean delivery Risk Factors Unnecessary cesarean delivery Unnecessary Procedures - statistics & numerical data |
| title | Unnecessary cesarean delivery in Louisiana: an analysis of birth certificate data |
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