Cesarean section rates and local resources for perinatal care in Japan: A nationwide ecological study using the national database of health insurance claims

The Journal of Obstetrics and Gynaecology Research
Eri MaedaKatsuyuki Murata

Abstract

High cesarean section (CS) rates in middle and high-income countries are partly attributable to provider factors, such as staffing patterns and fear of litigation. However, the relationship between CS rates and healthcare resources in the community is poorly understood. Official data on CS rates has been particularly limited in Japan. In this study, we examined nationwide CS statistics and evaluated the association with local resources for perinatal care. We used accumulated data for CS registered in the Japan National Database of health insurance claims in 2013 and calculated crude and age-standardized CS rates at national and prefectural levels. We analyzed the ecological associations with supply of obstetricians and institution and scale of obstetric facilities using multiple regression models. There were 190 361 cesarean deliveries in 2013, giving an overall CS rate of 18.5% (elective CS rates 11.0%), which varied by prefecture from 14.0% to 25.6%. In multiple regression analyses, the areal number of obstetricians (standardized regression coefficient [β] = -0.58), the proportion of births at small-scale institutions (β = 0.36) and the number of beds at neonatal intensive care units per birth (β = -0.20) were significantly a...Continue Reading

References

Mar 8, 1996·Journal of Health Economics·H S Brown
Oct 28, 1999·Journal of Health Economics·L DubayT Waidmann
Nov 23, 2000·Lancet·M Wagner
Feb 20, 2003·American Journal of Obstetrics and Gynecology·Louis Weinstein
Apr 22, 2005·BJOG : an International Journal of Obstetrics and Gynaecology·S ParanjothyJ Thomas
Feb 10, 2007·Human Reproduction·Barbara Luke, Morton B Brown
Mar 16, 2007·BJOG : an International Journal of Obstetrics and Gynaecology·Q YangM C Walker
Dec 8, 2010·BJOG : an International Journal of Obstetrics and Gynaecology·A MazzoniJ M Belizán
Sep 3, 2011·Lancet·Naoki IkegamiYasuki Kobayashi
Nov 23, 2011·Obstetrics and Gynecology·Emma L BarberWilliam A Grobman
Sep 27, 2012·Seminars in Perinatology·Jennifer Bailit
Jun 13, 2013·BJOG : an International Journal of Obstetrics and Gynaecology·D A VaughanD J Murphy
Aug 2, 2013·American Journal of Obstetrics and Gynecology·Brian K IriyeThomas J Garite
Nov 15, 2013·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Yvonne W ChengAaron B Caughey
Jun 1, 2015·American Journal of Obstetrics and Gynecology·Daniele S FeldmanKimberly D Gregory
Jun 22, 2015·Reproductive Health·Ana Pilar BetranAhmet Metin Gülmezoglu
Aug 19, 2015·Reproductive Health Matters·UNKNOWN World Health Organization Human Reproduction Programme, 10 April 2015
Dec 2, 2015·JAMA : the Journal of the American Medical Association·George MolinaAlex B Haynes
Jan 29, 2016·PloS One·Junichi HasegawaUNKNOWN Prevention Recurrence Committee, Japan Obstetric Compensation System for Cerebral Palsy
Jun 10, 2016·PloS One·Sarah-Jo SinnottMichael J Turner
Sep 21, 2016·Developmental Medicine and Child Neurology·Satoshi ToyokawaYasuki Kobayashi
Nov 1, 2016·Developmental Medicine and Child Neurology·Mary Jane Platt
Dec 29, 2016·JAMA : the Journal of the American Medical Association·Hong-Tian LiJan Blustein

❮ Previous
Next ❯

Citations

Jun 12, 2018·Journal of Child and Adolescent Psychopharmacology·Yasuyuki OkumuraJunzo Iida
Aug 30, 2019·Circulation Journal : Official Journal of the Japanese Circulation Society·Keiko YamasakiAkiko Chishaki
Mar 19, 2020·Archives of Gynecology and Obstetrics·Aya TakeyaTakeo Nakayama
Jul 17, 2019·Scientific Reports·Sachiko IwataOsuke Iwata
Feb 1, 2021·Journal of the Neurological Sciences·Ryo TakeguchiMasayuki Itoh
Aug 3, 2021·Journal of Epidemiology·Sachiko BabaUNKNOWN Japan Environment and Children’s Study Group

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
R Johnston, A Shustack
Wisconsin Medical Journal
L B Curet
© 2022 Meta ULC. All rights reserved