Lowered national cesarean section rates after a concerted action

Acta Obstetricia Et Gynecologica Scandinavica
Diogo Ayres-De-CamposLisa Vicente

Abstract

To evaluate national cesarean section (CS) rates and other obstetric indicators after a concerted action to reduce CS rates was undertaken in Portugal from 2010 onwards. This action was based on the transmission of information and training of healthcare professionals, together with the inclusion of CS rates as a criterion for hospital funding. Retrospective observational population-based study. Portugal. Births occurring in Portugal between 2000 and 2014. Governmental sources were used to obtain data on national CS, perinatal and maternal mortality rates. Rates of instrumental vaginal delivery, vaginal birth after cesarean (VBAC), hypoxia-related complications and perineal lacerations were retrieved for state-owned hospitals. CS, perinatal and maternal mortality, instrumental vaginal delivery, VBAC, hypoxia-related complications and perineal lacerations. After a continuous rise between 2000 and 2009, national CS rates declined significantly over the following 5 years (36.6% vs. 33.1%, time trend p ≤ 0.001). Perinatal mortality maintained a downward trend during this period, while maternal mortality remained unchanged. Rates of instrumental vaginal delivery, VBAC and perineal lacerations increased, while the incidence of hypoxia...Continue Reading

References

May 1, 1991·JAMA : the Journal of the American Medical Association·J LomasJ Singer
Nov 1, 1993·Social Science & Medicine·S A Myers, N Gleicher
Jun 1, 1993·American Journal of Obstetrics and Gynecology·M L SocolS L Dooley
Jan 1, 1996·American Journal of Obstetrics and Gynecology·D C Lagrew, M A Morgan
Jan 1, 1996·American Journal of Obstetrics and Gynecology·M S RobsonS M Walsh
May 1, 1996·Obstetrics and Gynecology·N A BickellA L Sui
May 22, 2001·Best Practice & Research. Clinical Obstetrics & Gynaecology·M S Robson
Jun 1, 2002·European Journal of Obstetrics, Gynecology, and Reproductive Biology·P M Elferink-StinkensO J S Van Hemel
Jun 15, 2004·Lancet·Fernando AlthabeUNKNOWN Latin American Caesarean Section Study Group
Jun 7, 2006·Lancet·José VillarUNKNOWN WHO 2005 global survey on maternal and perinatal health research group
Feb 17, 2007·Paediatric and Perinatal Epidemiology·Ana P BetránMarsden Wagner
Feb 28, 2007·Birth·Nils Chaillet, Alexandre Dumont
Mar 4, 2008·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Jeroen van DillenEvert van Rijssel
Feb 11, 2011·Acta Obstetricia Et Gynecologica Scandinavica·Wei HanChanglian Zhu
Dec 14, 2011·American Journal of Obstetrics and Gynecology·Erin A S Clark, Robert M Silver
Jul 19, 2012·Bulletin of the World Health Organization·Ma RunmeiZhang Dandan
Jan 26, 2013·Acta Obstetricia Et Gynecologica Scandinavica·Maddalena MorlandoPasquale Martinelli
Jul 3, 2013·Acta Obstetricia Et Gynecologica Scandinavica·Nanneli PallasmaaJukka Uotila
Jul 16, 2013·Acta Obstetricia Et Gynecologica Scandinavica·Charlotte ElvanderSven Cnattingius

❮ Previous
Next ❯

Citations

Mar 23, 2017·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Joao Abreu-SilvaClaudina Carvalho
Sep 29, 2018·The Cochrane Database of Systematic Reviews·Innie ChenAna Pilar Betran
Nov 23, 2018·BMC Pregnancy and Childbirth·Aireen WingertR Douglas Wilson
Feb 13, 2021·International Journal of Environmental Research and Public Health·Morgan WeilandEva Pilot

❮ 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

American Journal of Obstetrics and Gynecology
George A MaconesSarah J Ratcliffe
The Journal of Obstetrics and Gynaecology Research
Fujio MizunoyaShigeo Inoue
Evidence Report/technology Assessment
J M GuiseM Helfand
© 2021 Meta ULC. All rights reserved