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Factors Associated with Cesarean Section among Primiparous Women in Georgia: A Registry-based Study

Permanent lenke
https://hdl.handle.net/10037/20427
DOI
https://dx.doi.org/10.2991/jegh.k.200813.001
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article.pdf (611.6Kb)
Publisert versjon (PDF)
Dato
2020-08-21
Type
Journal article
Tidsskriftartikkel
Peer reviewed
Forfatter
Nedberg, Ingvild Hersoug; Rylander, Charlotta; Skjeldestad, Finn Egil; Blix, Ellen; Ugulava, Tamar; Anda, Erik Eik
Sammendrag
Cesarean section rates remain high in Georgia. As a cesarean section in the first pregnancy generally lead to a cesarean section in subsequent pregnancies, primiparous women should be targeted for prevention strategies. The aim of the study was to assess factors associated with cesarean section among primiparous women. The study comprised 17,065 primiparous women with singleton, cephalic deliveries at 37–43 weeks of gestation registered in the Georgian Birth Registry in 2017. The main outcome was cesarean section. Descriptive statistics and logistic regression analysis were used to identify factors associated with cesarean section. The proportion of cesarean section was 37.1% with regional variations from 14.2% to 57.4%. Increased maternal age, obesity and having a baby weighing ≥4000 g were all associated with higher odds of cesarean section. Of serious concern for newborn well-being is the high proportion of cesarean section at 37–38 weeks of gestation. Further research should focus on organizational and economical aspects of maternity care to uncover the underlying causes of the high cesarean section rate in Georgia.
Er en del av
Nedberg, I.H. (2022). Cesarean sections in Georgia and Norway - What contributes to too much, too little, or just right? The role of maternal risk factors and efforts to reduce high cesarean section rates. (Doctoral thesis). https://hdl.handle.net/10037/24424.
Forlag
Atlantis Press International B.V.
Sitering
Nedberg IH, Rylander C, Skjeldestad FE, Blix E, Ugulava T, Anda EE. Factors Associated with Cesarean Section among Primiparous Women in Georgia: A Registry-based Study. Journal of Epidemiology and Global Health (JEGH). 2020
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  • Artikler, rapporter og annet (samfunnsmedisin) [1514]
Copyright 2020 The Author(s)

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