miun.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Cesarean Section without Medical Reason, 1997 to 2006: A Swedish Register Study
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
Mälardalens högskola, Akademin för hälsa, vård och välfärd.
Inst. för allmänmecicin, Umeå Universitet.
Mälardalens högskola, Akademin för hälsa, vård och välfärd.
Show others and affiliations
2010 (English)In: Birth, ISSN 0730-7659, E-ISSN 1523-536X, Vol. 37, no 1, p. 11-20Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
2010. Vol. 37, no 1, p. 11-20
Keywords [en]
midwifery
Keywords [sv]
omvårdnad
National Category
Nursing
Identifiers
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
Projects
Caesarean section- emergency exit or shortcut?Available from: 2009-05-10 Created: 2009-05-10 Last updated: 2017-12-13Bibliographically approved
In thesis
1. Kejsarsnitt utan medicinsk indikation: Attityder, förekomst och önskemål
Open this publication in new window or tab >>Kejsarsnitt utan medicinsk indikation: Attityder, förekomst och önskemål
2010 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Sundsvall: Mittuniversitetet, 2010. p. 77
Series
Mid Sweden University doctoral thesis, ISSN 1652-893X ; 82
Keywords
Förekomst, kejsarsnitt utan medicinsk indikation, kvinnors önskemål och erfarenheter, vårdgivarattityd
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-11566 (URN)978-91-86073-71-8 (ISBN)
Public defence
2010-05-21, M 108, Lubbesalen, Holmgatan 10, Sundsvall, 10:30 (Swedish)
Opponent
Supervisors
Projects
Kejsarsnitt - nödutgång eller genväg?Föda barn i Västernorrland
Available from: 2010-06-02 Created: 2010-05-31 Last updated: 2010-06-02Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMedScopus

Authority records BETA

Karlström, AnnikaNystedt, AstridHildingsson, Ingegerd

Search in DiVA

By author/editor
Karlström, AnnikaNystedt, AstridHildingsson, Ingegerd
By organisation
Department of Health Sciences
In the same journal
Birth
Nursing

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 220 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf