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Cesarean birth in the Global Network for Women's and Children's Health Research: trends in utilization, risk factors, and subgroups with high cesarean birth rates.

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  • معلومة اضافية
    • المصدر:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101224380 Publication Model: Electronic Cited Medium: Internet ISSN: 1742-4755 (Electronic) Linking ISSN: 17424755 NLM ISO Abbreviation: Reprod Health Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: [London] : BioMed Central, 2004-
    • الموضوع:
      Birth Rate* ; Child Health*; Cesarean Section/*statistics & numerical data ; Cesarean Section/*trends ; Vaginal Birth after Cesarean/*statistics & numerical data; Adult ; Cesarean Section/adverse effects ; Child ; Female ; Humans ; Infant, Newborn ; Parity ; Population Surveillance ; Pregnancy ; Prospective Studies ; Risk Factors ; Young Adult
    • نبذة مختصرة :
      Background: The objectives of this analysis were to document trends in and risk factors associated with the cesarean birth rate in low- and middle-income country sites participating in the Global Network for Women's and Children's Health Research (Global Network).
      Methods: This is a secondary analysis of a prospective, population-based study of home and facility births conducted in the Global Network sites.
      Results: Cesarean birth rates increased uniformly across all sites between 2010 and 2018. Across all sites in multivariable analyses, women younger than age twenty had a reduced risk of cesarean birth (RR 0.9 [0.9, 0.9]) and women over 35 had an increased risk of cesarean birth (RR 1.1 [1.1, 1.1]) compared to women aged 20 to 35. Compared to women with a parity of three or more, less parous women had an increased risk of cesarean (RR 1.2 or greater [1.2, 1.4]). Four or more antenatal visits (RR 1.2 [1.2, 1.3]), multiple pregnancy (RR 1.3 [1.3, 1.4]), abnormal progress in labor (RR 1.1 [1.0, 1.1]), antepartum hemorrhage (RR 2.3 [2.0, 2.7]), and hypertensive disease (RR 1.6 [1.5, 1.7]) were all associated with an increased risk of cesarean birth, p < 0.001. For multiparous women with a history of prior cesarean birth, rates of vaginal birth after cesarean were about 20% in the Latin American and Southeast Asian sites and about 84% at the sub-Saharan African sites. In the African sites, proportions of cesarean birth in the study were highest among women without a prior cesarean and a single, cephalic, term pregnancy. In the non-African sites, groups with the greatest proportion of cesarean births were nulliparous women with a single, cephalic, term pregnancy and all multiparous women with at least one previous uterine scar with a term, cephalic pregnancy.
      Conclusion: Cesarean birth rates continue to rise within the Global Network. The proportions of cesarean birth are higher among women with no history of cesarean birth in the African sites and among women with primary elective cesarean, primary cesarean after induction, and repeat cesarean in the non-African sites.
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    • Grant Information:
      UG1 HD076461 United States HD NICHD NIH HHS; U01 HD040657 United States HD NICHD NIH HHS; U01 HD042372 United States HD NICHD NIH HHS; U01 HD040636 United States HD NICHD NIH HHS; U01 HD040477 United States HD NICHD NIH HHS; K12 HD001271 United States HD NICHD NIH HHS; U01 HD040574 United States HD NICHD NIH HHS; UG1 HD078439 United States HD NICHD NIH HHS; U01 HD043464 United States HD NICHD NIH HHS; U01 HD043475 United States HD NICHD NIH HHS; U01 HD040607 United States HD NICHD NIH HHS; UG1 HD076465 United States HD NICHD NIH HHS; UG1 HD078438 United States HD NICHD NIH HHS; UG1 HD076457 United States HD NICHD NIH HHS; UG1 HD076474 United States HD NICHD NIH HHS
    • Contributed Indexing:
      Keywords: Cesarean birth; Low- and middle-income countries; Risk factors; Robson classification; Trends; Vaginal birth after cesarean
    • الموضوع:
      Date Created: 20201218 Date Completed: 20210614 Latest Revision: 20240804
    • الموضوع:
      20240804
    • الرقم المعرف:
      PMC7745346
    • الرقم المعرف:
      10.1186/s12978-020-01021-7
    • الرقم المعرف:
      33334352