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Indications for cesarean section in singleton pregnancies in two Danish counties with different cesarean section rates.
Acta Obstet Gynecol Scand. 1994 Feb; 73(2):129-35.AO

Abstract

OBJECTIVE

To compare the clinical indications for delivery by cesarean section (CS) in singleton pregnancies in two Danish counties with different CS rates, and to describe the relation between CS in the two counties and parity, mother's age, type of delivery department, gestational age at birth, and birthweight.

DESIGN

A population-based, follow-up study based on antecedent data.

SETTING

Two Danish counties, where women deliver in obstetric as well as surgical departments, with a CS rate of 8.3% and 15.2%, respectively.

SUBJECTS

All pregnant women in the two counties who delivered in 1989.

MAIN OUTCOME MEASURES

Comparison of the rates of CS in the two counties carried out for five well-defined clinical indications: Previous cesarean section, breech presentation, dystocia, fetal distress, and other. SECONDARY MEASURES: Neonatal and maternal outcomes.

RESULTS

In the county with the higher frequency of CS, all indications for CS were used significantly more often, except from 'fetal distress' in primiparous women. In this county 'breech presentation' was the commonest indication among primiparous women, whereas 'fetal distress' was the most common in the county with the lower CS rate. For multiparous women the highest CS rates in both counties were found among women who had had a previous CS. The major difference between the two counties was the threefold greater risk of CS indicated by 'dystocia' among multiparous women in the county with the higher CS rate.

CONCLUSION

The regional differences in CS could not be explained by differences between the two populations or by an increased rate of a single indication, but could be due to differences in obstetric practice or expectations or demands from the pregnant women.

Authors+Show Affiliations

Department of Gynecology and Obstetrics, Central Hospital of Hillerød, Denmark.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

8116351

Citation

Sperling, L S., et al. "Indications for Cesarean Section in Singleton Pregnancies in Two Danish Counties With Different Cesarean Section Rates." Acta Obstetricia Et Gynecologica Scandinavica, vol. 73, no. 2, 1994, pp. 129-35.
Sperling LS, Henriksen TB, Ulrichsen H, et al. Indications for cesarean section in singleton pregnancies in two Danish counties with different cesarean section rates. Acta Obstet Gynecol Scand. 1994;73(2):129-35.
Sperling, L. S., Henriksen, T. B., Ulrichsen, H., Hedegård, M., Møller, H., Hansen, V., Ovlisen, B., & Secher, N. J. (1994). Indications for cesarean section in singleton pregnancies in two Danish counties with different cesarean section rates. Acta Obstetricia Et Gynecologica Scandinavica, 73(2), 129-35.
Sperling LS, et al. Indications for Cesarean Section in Singleton Pregnancies in Two Danish Counties With Different Cesarean Section Rates. Acta Obstet Gynecol Scand. 1994;73(2):129-35. PubMed PMID: 8116351.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Indications for cesarean section in singleton pregnancies in two Danish counties with different cesarean section rates. AU - Sperling,L S, AU - Henriksen,T B, AU - Ulrichsen,H, AU - Hedegård,M, AU - Møller,H, AU - Hansen,V, AU - Ovlisen,B, AU - Secher,N J, PY - 1994/2/1/pubmed PY - 1994/2/1/medline PY - 1994/2/1/entrez SP - 129 EP - 35 JF - Acta obstetricia et gynecologica Scandinavica JO - Acta Obstet Gynecol Scand VL - 73 IS - 2 N2 - OBJECTIVE: To compare the clinical indications for delivery by cesarean section (CS) in singleton pregnancies in two Danish counties with different CS rates, and to describe the relation between CS in the two counties and parity, mother's age, type of delivery department, gestational age at birth, and birthweight. DESIGN: A population-based, follow-up study based on antecedent data. SETTING: Two Danish counties, where women deliver in obstetric as well as surgical departments, with a CS rate of 8.3% and 15.2%, respectively. SUBJECTS: All pregnant women in the two counties who delivered in 1989. MAIN OUTCOME MEASURES: Comparison of the rates of CS in the two counties carried out for five well-defined clinical indications: Previous cesarean section, breech presentation, dystocia, fetal distress, and other. SECONDARY MEASURES: Neonatal and maternal outcomes. RESULTS: In the county with the higher frequency of CS, all indications for CS were used significantly more often, except from 'fetal distress' in primiparous women. In this county 'breech presentation' was the commonest indication among primiparous women, whereas 'fetal distress' was the most common in the county with the lower CS rate. For multiparous women the highest CS rates in both counties were found among women who had had a previous CS. The major difference between the two counties was the threefold greater risk of CS indicated by 'dystocia' among multiparous women in the county with the higher CS rate. CONCLUSION: The regional differences in CS could not be explained by differences between the two populations or by an increased rate of a single indication, but could be due to differences in obstetric practice or expectations or demands from the pregnant women. SN - 0001-6349 UR - https://www.unboundmedicine.com/medline/citation/8116351/Indications_for_cesarean_section_in_singleton_pregnancies_in_two_Danish_counties_with_different_cesarean_section_rates_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0001-6349&date=1994&volume=73&issue=2&spage=129 DB - PRIME DP - Unbound Medicine ER -