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Cesarean Section without Medical Reason, 1997 to 2006: A Swedish Register Study
Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
Mälardalens högskola, Akademin för hälsa, vård och välfärd.
Inst. för allmänmecicin, Umeå Universitet.
Mälardalens högskola, Akademin för hälsa, vård och välfärd.
Vise andre og tillknytning
2010 (engelsk)Inngår i: Birth, ISSN 0730-7659, E-ISSN 1523-536X, Vol. 37, nr 1, s. 11-20Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background:

Cesarean section performed in the absence of medical indication is of concern in many countries, but studies focusing on its prevalence are inconclusive. The objective of this study was, first, to describe the prevalence of cesarean section without medical reason in terms of the diagnostic code listed in the Swedish Medical Birth Register, and to assess its contribution to the general increase in the number of cesarean sections; and second, to study regional differences and differences in the maternal characteristics of women having a cesarean birth with this diagnostic code.

Methods:

Birth records of 6,796 full-term cesarean sections in two Swedish regions with the diagnostic code O828 were collected from the Swedish Medical Birth Register. Descriptive data, t test, and logistic regression analysis were used to analyze data.

Results:

The rate of cesarean sections without medical indication increased threefold during the 10-year period, but this finding represents a minor contribution to the general increase in the number of cesarean sections. The diagnostic code O828 was more common in the capital area (p < 0.001). Secondary diagnoses were found, the most frequent of which were previous cesarean section and childbirth-related fear. Regional differences existed concerning prevalence, classification, maternal sociodemographic, obstetric, and health variables.

Conclusions:

The rate of cesarean sections without medical reasons in terms of the diagnostic code O828 increased during the period. The prevalence and maternal characteristics differed between the regions. Medical code classification is not explicit when it comes to defining cesarean sections without medical reasons and secondary diagnoses are common.

sted, utgiver, år, opplag, sider
2010. Vol. 37, nr 1, s. 11-20
Emneord [en]
midwifery
Emneord [sv]
omvårdnad
HSV kategori
Identifikatorer
URN: urn:nbn:se:miun:diva-8909DOI: 10.1111/j.1523-536X.2009.00373.xISI: 000274924800003PubMedID: 20402717Scopus ID: 2-s2.0-77649129123OAI: oai:DiVA.org:miun-8909DiVA, id: diva2:216562
Prosjekter
Caesarean section- emergency exit or shortcut?Tilgjengelig fra: 2009-05-10 Laget: 2009-05-10 Sist oppdatert: 2017-12-13bibliografisk kontrollert
Inngår i avhandling
1. Kejsarsnitt utan medicinsk indikation: Attityder, förekomst och önskemål
Åpne denne publikasjonen i ny fane eller vindu >>Kejsarsnitt utan medicinsk indikation: Attityder, förekomst och önskemål
2010 (svensk)Doktoravhandling, med artikler (Annet vitenskapelig)
sted, utgiver, år, opplag, sider
Sundsvall: Mittuniversitetet, 2010. s. 77
Serie
Mid Sweden University doctoral thesis, ISSN 1652-893X ; 82
Emneord
Förekomst, kejsarsnitt utan medicinsk indikation, kvinnors önskemål och erfarenheter, vårdgivarattityd
HSV kategori
Identifikatorer
urn:nbn:se:miun:diva-11566 (URN)978-91-86073-71-8 (ISBN)
Disputas
2010-05-21, M 108, Lubbesalen, Holmgatan 10, Sundsvall, 10:30 (svensk)
Opponent
Veileder
Prosjekter
Kejsarsnitt - nödutgång eller genväg?Föda barn i Västernorrland
Tilgjengelig fra: 2010-06-02 Laget: 2010-05-31 Sist oppdatert: 2010-06-02bibliografisk kontrollert

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