Ghent University Academic Bibliography

Advanced

Limiting the caesarean section rate in low risk pregnancies is key to lowering the trend of increased abdominal deliveries: an observational study

Ilse Delbaere, Hendrik Cammu, Evelyne Martens, Inge Tency UGent, Guy Martens and Marleen Temmerman UGent (2012) BMC PREGNANCY AND CHILDBIRTH. 12.
abstract
Background : As the rate of Caesarean sections (CS) continues to rise in Western countries, it is important to analyze the reasons for this trend and to unravel the underlying motives to perform CS. This research aims to assess the incidence and trend of CS in a population-based birth register in order to identify patient groups with an increasing risk for CS. Methods : Data from the Flemish birth register ‘Study Centre for Perinatal Epidemiology’ (SPE) were used for this historic control comparison. Caesarean sections (CS) from the year 2000 (N = 10540) were compared with those from the year 2008 (N = 14016). By means of the Robson classification, births by Caesarean section were ordered in 10 groups according to mother – and delivery characteristics. Results : Over a period of eight years, the CS rise is most prominent in women with previous sections and in nulliparous women with a term cephalic in spontaneous labor. The proportion of inductions of labor decreases in favor of elective CS, while the ongoing inductions of labor more often end in non-elective CS. Conclusions : In order to turn back the current CS trend, we should focus on low–risk primiparae. Avoiding unnecessary abdominal deliveries in this group will also have a long–term effect, in that the number of repeat CS will be reduced in the future. For the purpose of self–evaluation, peer discussion on the necessity of CS, as well as accurate registration of the main indication for CS are recommended.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
Caesarean section, prevention, low risk pregnancy
journal title
BMC PREGNANCY AND CHILDBIRTH
BMC Pregnancy Childbirth
volume
12
article number
3
pages
10 pages
JCR category
SURGERY
JCR impact factor
2.516 (2012)
JCR rank
39/195 (2012)
JCR quartile
1 (2012)
ISSN
1471-2393
DOI
10.1186/1471-2393-12-3
language
English
UGent publication?
yes
classification
A2
copyright statement
I have retained and own the full copyright for this publication
id
2047289
handle
http://hdl.handle.net/1854/LU-2047289
date created
2012-02-27 14:22:28
date last changed
2016-12-21 15:42:03
@article{2047289,
  abstract     = {Background : As the rate of Caesarean sections (CS) continues to rise in Western countries, it is important to analyze the reasons for this trend and to unravel the underlying motives to perform CS. This research aims to assess the incidence and trend of CS in a population-based birth register in order to identify patient groups with an increasing risk for CS.
Methods : Data from the Flemish birth register {\textquoteleft}Study Centre for Perinatal Epidemiology{\textquoteright} (SPE) were used for this historic control comparison. Caesarean sections (CS) from the year 2000 (N = 10540) were compared with those from the year 2008 (N = 14016). By means of the Robson classification, births by Caesarean section were ordered in 10 groups according to mother -- and delivery characteristics.
Results : Over a period of eight years, the CS rise is most prominent in women with previous sections and in nulliparous women with a term cephalic in spontaneous labor. The proportion of inductions of labor decreases in favor of elective CS, while the ongoing inductions of labor more often end in non-elective CS.
Conclusions : In order to turn back the current CS trend, we should focus on low--risk primiparae. Avoiding unnecessary abdominal deliveries in this group will also have a long--term effect, in that the number of repeat CS will be reduced in the future. For the purpose of self--evaluation, peer discussion on the necessity of CS, as well as accurate registration of the main indication for CS are recommended.},
  articleno    = {3},
  author       = {Delbaere, Ilse and Cammu, Hendrik and Martens, Evelyne and Tency, Inge and Martens, Guy and Temmerman, Marleen},
  issn         = {1471-2393},
  journal      = {BMC PREGNANCY AND CHILDBIRTH},
  keyword      = {Caesarean section,prevention,low risk pregnancy},
  language     = {eng},
  pages        = {10},
  title        = {Limiting the caesarean section rate in low risk pregnancies is key to lowering the trend of increased abdominal deliveries: an observational study},
  url          = {http://dx.doi.org/10.1186/1471-2393-12-3},
  volume       = {12},
  year         = {2012},
}

Chicago
Delbaere, Ilse, Hendrik Cammu, Evelyne Martens, Inge Tency, Guy Martens, and Marleen Temmerman. 2012. “Limiting the Caesarean Section Rate in Low Risk Pregnancies Is Key to Lowering the Trend of Increased Abdominal Deliveries: An Observational Study.” Bmc Pregnancy and Childbirth 12.
APA
Delbaere, I., Cammu, H., Martens, E., Tency, I., Martens, G., & Temmerman, M. (2012). Limiting the caesarean section rate in low risk pregnancies is key to lowering the trend of increased abdominal deliveries: an observational study. BMC PREGNANCY AND CHILDBIRTH, 12.
Vancouver
1.
Delbaere I, Cammu H, Martens E, Tency I, Martens G, Temmerman M. Limiting the caesarean section rate in low risk pregnancies is key to lowering the trend of increased abdominal deliveries: an observational study. BMC PREGNANCY AND CHILDBIRTH. 2012;12.
MLA
Delbaere, Ilse, Hendrik Cammu, Evelyne Martens, et al. “Limiting the Caesarean Section Rate in Low Risk Pregnancies Is Key to Lowering the Trend of Increased Abdominal Deliveries: An Observational Study.” BMC PREGNANCY AND CHILDBIRTH 12 (2012): n. pag. Print.