Caesarean section by country of birth in New South Wales,Australia |
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| Institution: | 1. Epidemiology, Executive Medical Services, Western Sydney Local Health District, Sydney, Australia;2. Obstetrics and Gynaecology, Westmead Hospital, Sydney, Australia;1. Interdisciplinary School of Health Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada;2. School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada;1. University of South Australia, School of Nursing and Midwifery, Australia;2. University of South Australia, School of Psychology, Social Work and Social Policy, City East Campus, 108 North Terrace, Adelaide, South Australia, 5001, Australia;1. City, University of London, 1 Myddelton Street, London, EC1R 1UB, UK;2. De Montfort University, The Gateway, Leicester, LE1 9BH, UK;3. University of Nottingham, University Park, Nottingham, NG7 2RD, UK;4. Universidade federal do Rio de Janeiro, 275 – Cidade Nova, Rio de Janeiro, RJ, 20071-003, Brazil;1. Department of Psychology, State University of New York at Fredonia, W357 Thompson Hall, Fredonia NY 14063, United States;2. Department of Sociocultural and Justice Sciences, State University of New York at Fredonia, W363 Thompson Hall, Fredonia NY 14063, United States;3. Department of Athletics, Georgetown University, 37th Street Northwest, Washington, DC 20007, United States;1. Department of Obstetrics and Gynaecology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands;2. Erasmus University Rotterdam, Erasmus School of Health Policy & Management, Rotterdam, The Netherlands;3. Erasmus University Rotterdam, Erasmus School of Economics, Rotterdam, The Netherlands;4. Centre for Psychological Wellbeing and Pregnancy, Amsterdam, The Netherlands;5. School of Health Professions Education (SHE), Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands |
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| Abstract: | ObjectiveTo determine rates of caesarean section by country of birth and by obstetric risks.MethodsWe analysed the New South Wales Perinatal Data Collection data of women giving birth between January 2013 and December 2015. Obstetric risk was classified using the Robson’s 10-group classification. Multilevel logistic regression with a random intercept was used to measure the variation in caesarean section rate between immigrants from different countries and between regional immigrant groups.ResultsWe analysed data from 283,256 women, of whom 90,750 had a caesarean section (32.0%). A total of 100,120 women were born overseas (35.3%), and 33,028 (33.0%) had a caesarean section. The caesarean section rate among women from South and Central Asia ranged from 32.6% for women from Pakistan to 47.3% for women from Bangladesh. For South East Asia, women from Cambodia had the lowest caesarean section rate (19.5%) and women from Indonesia had the highest rate (37.3%). The caesarean section rate for North Africa and the Middle East ranged from 28.0% for women from Syria to 50.1% for women from Iran. Robson groups that accounted for most of the caesarean sections were women who had previous caesarean section (36.5%); nulliparous women, induced or caesarean section before labour (26.2%); and nulliparous women, spontaneous labour (8.9%).ConclusionsThe caesarean section rate varied significantly between women from different countries of birth within the same region. Women from some countries of birth had the higher caesarean section rates in some Robson groups. |
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| Keywords: | Caesarean section Country of birth Obstetric risk Robson classification |
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