The Increasing Trend in Caesarean Section Rates: Global, Regional and National Estimates: 1990-2014

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dc.citation.issue2
dc.citation.volume11
dc.contributor.authorBetran, Ana Pilar
dc.contributor.authorYe, Jianfeng
dc.contributor.authorMoller, Anne-Beth
dc.contributor.authorZhang, Jun
dc.contributor.authorGuelmezoglu, A. Metin
dc.contributor.authorTorloni, Maria Regina [UNIFESP]
dc.coverageSan Francisco
dc.date.accessioned2020-08-21T17:00:24Z
dc.date.available2020-08-21T17:00:24Z
dc.date.issued2016
dc.description.abstractBackground Caesarean section (CS) rates continue to evoke worldwide concern because of their steady increase, lack of consensus on the appropriate CS rate and the associated additional short-and long-term risks and costs. We present the latest CS rates and trends over the last 24 years. Methods We collected nationally-representative data on CS rates between 1990 to 2014 and calculated regional and subregional weighted averages. We conducted a longitudinal analysis calculating differences in CS rates as absolute change and as the average annual rate of increase (AARI). Results According to the latest data from 150 countries, currently 18.6% of all births occur by CS, ranging from 6% to 27.2% in the least and most developed regions, respectively. Latin America and the Caribbean region has the highest CS rates (40.5%), followed by Northern America (32.3%), Oceania (31.1%), Europe (25%), Asia (19.2%) and Africa (7.3%). Based on the data from 121 countries, the trend analysis showed that between 1990 and 2014, the global average CS rate increased 12.4% (from 6.7% to 19.1%) with an average annual rate of increase of 4.4%. The largest absolute increases occurred in Latin America and the Caribbean (19.4%, from 22.8% to 42.2%), followed by Asia (15.1%, from 4.4% to 19.5%), Oceania (14.1%, from 18.5% to 32.6%), Europe (13.8%, from 11.2% to 25%), Northern America (10%, from 22.3% to 32.3%) and Africa (4.5%, from 2.9% to 7.4%). Asia and Northern America were the regions with the highest and lowest average annual rate of increase (6.4% and 1.6%, respectively). Conclusion The use of CS worldwide has increased to unprecedented levels although the gap between higher- and lower-resource settings remains. The information presented is essential to inform policy and global and regional strategies aimed at optimizing the use of CS.en
dc.description.affiliationUNDP UNFPA UNICEF WHO World Bank Special Programm, Dept Reprod Hlth & Res, CH-1211 Geneva, Switzerland
dc.description.affiliationFudan Univ, Dept Clin Epidemiol, Obstet & Gynecol Hosp, Shanghai 200433, Peoples R China
dc.description.affiliationShanghai Jiao Tong Univ, Minist Educ, Shanghai Key Lab Childrens Environm Hlth, Xinhua Hosp,Sch Med, Shanghai 200030, Peoples R China
dc.description.affiliationUniv Fed Sao Paulo, Evidence Based Healthcare Postgrad Program, Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Evidence Based Healthcare Postgrad Program, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipWorld Health Organization
dc.description.sponsorshipIDWorld Health Organization: 001
dc.format.extent-
dc.identifierhttp://dx.doi.org/10.1371/journal.pone.0148343
dc.identifier.citationPlos One. San Francisco, v. 11, n. 2, p. -, 2016.
dc.identifier.doi10.1371/journal.pone.0148343
dc.identifier.fileWOS000369554000073.pdf
dc.identifier.issn1932-6203
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/57983
dc.identifier.wosWOS:000369554000073
dc.language.isoeng
dc.publisherPublic Library Science
dc.relation.ispartofPlos One
dc.rightsAcesso aberto
dc.titleThe Increasing Trend in Caesarean Section Rates: Global, Regional and National Estimates: 1990-2014en
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