A Prospective, Population-Based Study of Trends in Operative Vaginal Delivery Compared to Cesarean Delivery Rates in Low- and Middle-Income Countries, 2010-2016.
Journal
American journal of perinatology
ISSN: 1098-8785
Titre abrégé: Am J Perinatol
Pays: United States
ID NLM: 8405212
Informations de publication
Date de publication:
06 2019
06 2019
Historique:
pubmed:
30
10
2018
medline:
28
5
2020
entrez:
30
10
2018
Statut:
ppublish
Résumé
Few data are available on cesarean delivery and operative vaginal delivery trends in low- and middle-income countries. Our objective was to analyze a prospective population-based registry including eight sites in seven low- and middle-income countries to observe trends in operative vaginal delivery versus cesarean delivery rates over time, across sites. A prospective population-based study, including home and facility births among women enrolled from 2010 to 2016, was performed in communities in Argentina, Democratic Republic of Congo, Guatemala, India, Kenya, Pakistan, and Zambia. Women were enrolled during pregnancy and delivery outcome data were collected. We analyzed 354,287 women; 4,119 (1.2%) underwent an operative vaginal delivery and 45,032 (11.2%) delivered by cesarean. Across all sites with data for 7 years, rates of operative vaginal delivery decreased from 1.6 to 0.3%, while cesarean delivery increased from 6.4 to 14.4%. Similar trends were seen when individual country data were analyzed. Operative vaginal delivery rates decreased in both hospitals and clinics, except in the hospital setting at one of the Indian sites. In low- and middle-income countries, operative vaginal delivery is becoming less utilized while cesarean delivery is becoming an increasingly common mode of delivery.
Identifiants
pubmed: 30372772
doi: 10.1055/s-0038-1673656
pmc: PMC6488442
mid: NIHMS1005051
doi:
Types de publication
Comparative Study
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
730-736Subventions
Organisme : NICHD NIH HHS
ID : U24 HD092094
Pays : United States
Organisme : NICHD NIH HHS
ID : U10 HD078438
Pays : United States
Organisme : NICHD NIH HHS
ID : U01 HD040657
Pays : United States
Organisme : NICHD NIH HHS
ID : U01 HD042372
Pays : United States
Organisme : NICHD NIH HHS
ID : U01 HD040636
Pays : United States
Organisme : NICHD NIH HHS
ID : U01 HD040477
Pays : United States
Organisme : NICHD NIH HHS
ID : U10 HD076474
Pays : United States
Organisme : NICHD NIH HHS
ID : U01 HD040574
Pays : United States
Organisme : NICHD NIH HHS
ID : UG1 HD078439
Pays : United States
Organisme : NICHD NIH HHS
ID : U01 HD043464
Pays : United States
Organisme : NICHD NIH HHS
ID : U01 HD043475
Pays : United States
Organisme : NICHD NIH HHS
ID : U01 HD040607
Pays : United States
Organisme : NICHD NIH HHS
ID : UG1 HD076465
Pays : United States
Organisme : NICHD NIH HHS
ID : UG1 HD076457
Pays : United States
Organisme : NICHD NIH HHS
ID : UG1 HD076474
Pays : United States
Informations de copyright
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
Déclaration de conflit d'intérêts
None.
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