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Reducing caesarean section rates – No easy task
Author(s) -
Roberts Christine L.,
Algert Charles S.,
Todd Angela L.,
Morris Jonathan M.
Publication year - 2013
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/ajo.12065
Subject(s) - caesarean section , obstetrics , singleton , medicine , relative risk , caesarean delivery , pregnancy , confidence interval , biology , genetics
To identify the greatest potential for reducing overall caesarean delivery rates, we used longitudinally linked data for women with consecutive births 2001–2009 to examine the likely impact of hypothetical risk‐based scenarios. Among women with a first birth, singleton, vertex‐presenting fetus at term, increasing the vaginal birth rate following induction of labour by 20% potentially has greatest impact, with a 12.1% relative decrease in the overall caesarean rate. The potential relative decrease in other scenarios ranged from 0.8 to 5.9%.