Abstract

Introduction. This study aimed to estimate the most recent cae- sarean section rates in the world and examine the association between these rates and old and new indicators of health care. Methods. Authors analyzed the CS rates, also in geo-economic and economic groups, and correlated them to maternal and neo- natal mortality, to births attended by skilled health personnel and to births among adolescents. Analysis of covariance and piece- wise regressions were used for the statistical analysis. Results. In 47.2% of the countries, the CS rate exceeded 15%. Countries of Latin America and the Caribbean along with Europe, North America and Oceania had the highest values. The analysis showed an inverse association between CS rates and MMR and NMR for all geographical areas except for Europe. The great- est association was observed in lower-middle-income countries. In developing countries only 50% of cases, occur in medical facilities and only half of these are seen by medical, nursing and obstetrical staff. Age of the mother appears to influence the out- come and choice of delivery type. Countries where an high ABR rate is present have low CS use. Conclusions. To best evaluate the consequences of the increas- ing rate of CS, it would be useful to identify the most sensitive outcome indicators.

Autore Pugliese

• Guido Marcello , De Donno Maria Antonella

Tutti gli autori

• Zizza A. , Tinelli A. , Malvasi A. , Barbone E. , Stark M. , De Donno A. , Guido M.

Titolo volume/Rivista

JOURNAL OF PREVENTIVE MEDICINE AND HYGIENE

Anno di pubblicazione

2011

ISSN

1121-2233

ISBN

Non Disponibile

Numero di citazioni Wos

Nessuna citazione

Ultimo Aggiornamento Citazioni

Non Disponibile

Numero di citazioni Scopus

24

Ultimo Aggiornamento Citazioni

23/04/2018

Settori ERC

Non Disponibile

Codici ASJC

Non Disponibile