Rising rates of caesarean section: the way ahead.

Caesarean section rates in government hospitals in Malaysia, 2000-2001.

There has been widespread concern about rising caesarean section rates in the world. Various reviews have documented the wide variation worldwide in caesarean rates. For instance, in the mid-to-late 1980s the caesarean rate was 32% in Brazilian states, 25% in the United States, 5% in Jamaica and 7% in Czechoslovakia!. It is believed that the rising trend is due to the general trend towards lowe...

Rising caesarean section rates in public hospitals in Malaysia 2006.

The caesarean section rate in Malaysian public hospitals has increased to 15.7% from 10.5% in the year 2000. There are inter-state variations in the rate ranging from a high of 25.4% in Melaka to 10.9% in Sabah. The West Coast states generally had a higher caesarean section rate than the East Coast states as well as East Malaysia. It would be prudent for Malaysia to implement stringent caesarea...

Making sense of rising caesarean section rates.

Pathways to a rising caesarean section rate: a population-based cohort study

OBJECTIVES To determine whether the obstetric pathways leading to caesarean section changed from one decade to another. We also aimed to explore how much of the increase in caesarean rate could be attributed to maternal and pregnancy factors including a shift towards delivery in private hospitals. DESIGN Population-based record linkage cohort study. SETTING New South Wales, Australia. PAR...

Role of public and private funding in the rising caesarean section rate: a cohort study

OBJECTIVE The caesarean section rates have been rising in the developed world for over two decades. This study assessed the involvement of the public and private health sectors in this increase. DESIGN Population-based, retrospective cohort study. SETTING Public and private hospitals in Western Australia. PARTICIPANTS Included in this study were 155 646 births to nulliparous women during ...