Vol 14: Influence of delivery characteristics and socioeconomic status on giving birth by caesarean section - a cross sectional study during 2000-2010 in Finland.Reportar como inadecuado



 Vol 14: Influence of delivery characteristics and socioeconomic status on giving birth by caesarean section - a cross sectional study during 2000-2010 in Finland.


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This article is from BMC Pregnancy and Childbirth, volume 14.AbstractBackground: Caesarean section CS rates especially without medical indication are rising worldwide. Most of indications for CS are relative and CS rates for various indications vary widely. There is an increasing tendency to perform CSs without medical indication on maternal request. Women with higher socioeconomic status SES are more likely to give birth by CS. We aimed to study whether giving birth by CS was associated with SES and other characteristics among singleton births during 2000–2010 in Finland with publicly funded health care. Methods: Data were gathered from the Finnish Medical Birth Register. The likelihood of giving birth by CS according to CS type planned and non-planned, parity nulliparous vs. multiparous, socio-demographic factors, delivery characteristics and time periods 2000–2003, 2004–2007 and 2008–2010 was determined by using logistic regression analysis. SES was classified as upper white collar workers highest SES, lower white collar workers, blue collar workers lowest SES, others all unclassifiable cases and cases with missing information. Results: In total, 19.8% 51,511 of 259,736 of the nulliparous women and 13.1% 47,271 of 360,727 of the multiparous women gave birth by CS. CS was associated with several delivery characteristics, such as placental abruption, placenta previa, birth weight and fear of childbirth, among both parity groups. After adjustment, the likelihood of giving birth by planned CS was reduced by 40% in nulliparous and 55% in multiparous women from 2000–2003 to 2008–2010, whereas the likelihood of non-planned CSs did not change. Giving birth by planned and non-planned CS was up to 9% higher in nulliparous women and up to 17% higher in multiparous women in the lowest SES groups compared to the highest SES group. Conclusions: Giving birth by CS varied by clinical indications. Women with the lowest SES were more likely to give birth by CS, indicating that the known social disparity in pregnancy complications increases the need for operative deliveries in these women. Overall, the CS policy in Finland shows favoring a trial of labor over planned CS and reflects no inequity in healthcare services.



Autor: Raisanen, Sari; Gissler, Mika; Kramer, Michael R; Heinonen, Seppo

Fuente: https://archive.org/







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