Impact of national guidelines on the cesarean delivery rate in France: A 2010-2016 comparison using the Robson classification

European Journal of Obstetrics, Gynecology, and Reproductive Biology
Camille Le RayBéatrice Blondel

Abstract

French national guidelines on indications of pre-labor cesarean delivery and management of women with a previous cesarean delivery (CD) were published in 2012. Our aim was to assess if these guidelines have impacted the global CD rate in France and the CD rate in specific groups according to the Robson classification, using the national perinatal population-based surveys of 2010 and 2016. Women included in the French National Perinatal Surveys in 2010 and 2016 were classified using maternal characteristics and obstetrical history in 12 groups according to Robson's classification (N = 14176 in 2010 and N = 13057 in 2016). We estimated relative size, CD rate and contribution of each group to the global CD rate in 2010 and 2016. Then, we compared the 2 survey years. We analyzed the population characteristics, timing and indications of CD in the groups with significant changes between the two survey years. The global CD rate was 20.5 % in 2010 and 19.5 % in 2016 (p = 0.027), with a lower pre-labor CD rate (10.9 % versus 9.2 %, p < 0.001). Despite an increasing of maternal age in 2016, we observed a decrease of the relative size of group 2b (nulliparous, singleton, cephalic, term, pre-labor CD): 1.1 % in 2010 versus 0.8 % in 2016 (p...Continue Reading

References

May 22, 2001·Best Practice & Research. Clinical Obstetrics & Gynaecology·M S Robson
Mar 22, 2005·BJOG : an International Journal of Obstetrics and Gynaecology·Salma Imran Kayani, Zarko Alfirevic
Feb 1, 2011·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Christophe VayssièreUNKNOWN French College of Gynaecologists and Obstetricians
Mar 20, 2012·PLoS Medicine·Kathryn E FitzpatrickMarian Knight
Jul 3, 2013·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Loïc SentilhesClaude d'Ercole
Oct 4, 2013·The New England Journal of Medicine·Jon F R BarrettUNKNOWN Twin Birth Study Collaborative Group
Oct 19, 2013·Journal de gynécologie, obstétrique et biologie de la reproduction·C QuantinB Blondel
Nov 22, 2014·BJOG : an International Journal of Obstetrics and Gynaecology·C Le RayF Goffinet
Apr 14, 2015·The Lancet Global Health·Joshua P VogelUNKNOWN WHO Multi-Country Survey on Maternal and Newborn Health Research Network
May 20, 2015·Gynécologie, obstétrique & fertilité·A VillotG Benoist
Dec 19, 2015·BJOG : an International Journal of Obstetrics and Gynaecology·A P BetranUNKNOWN WHO Working Group on Caesarean Section
May 10, 2017·Journal of Gynecology Obstetrics and Human Reproduction·C DupontUNKNOWN Clinical practice guidelines group
May 10, 2017·Obstetrics and Gynecology·Thomas SchmitzUNKNOWN JUmeaux MODe dʼAccouchement (JUMODA) Study Group and the Groupe de Recherche en Obstétrique et Gynécologie (GROG)
Oct 17, 2017·Journal of Gynecology Obstetrics and Human Reproduction·B BlondelUNKNOWN National Coordination Group of the National Perinatal Surveys

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