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Physician gender and cesarean sections.

L K Mitler1, J A Rizzo, S M Horwitz

  • 1Department of Epidemiology & Public Health, Yale University School of Medicine, 60 College St., Box 208034, New Haven, CT 06520, USA.

Journal of Clinical Epidemiology
|October 12, 2000
PubMed
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Male physicians are more likely to perform cesarean sections than female physicians, particularly in university settings. Further research into non-clinical factors is needed to reduce cesarean delivery rates.

Area of Science:

  • Obstetrics and Gynecology
  • Healthcare Management
  • Medical Sociology

Background:

  • High cesarean section rates are a significant concern for patients, insurers, and healthcare providers.
  • Previous efforts to reduce cesarean delivery rates, focusing on clinical provider behavior, have yielded minimal success.
  • Investigation into non-clinical variables is crucial to understand and potentially influence cesarean delivery decisions.

Purpose of the Study:

  • To examine the impact of clinical and non-clinical factors on cesarean section performance among obstetrician-gynecologists.
  • To identify specific variables that contribute to variations in cesarean delivery rates.

Main Methods:

  • Data collected on obstetrician-gynecologists at Yale-New Haven Medical Center.
  • Analysis included patient demographics, antepartum/intrapartum risk, practice setting, and physician characteristics.

Related Experiment Videos

  • Contingency table and logistic regression analyses were employed.

    • Main Results:

    • Male physicians demonstrated a significantly higher likelihood of performing cesarean sections compared to female physicians.
    • This association between physician gender and cesarean section rates was notably pronounced in university hospital settings.

    Conclusions:

    • Reducing cesarean section rates requires a focus on continuing education for healthcare providers.
    • Delineating non-clinical factors is essential for understanding and modifying clinical therapy choices, including cesarean delivery.
    • Future interventions should consider physician-specific characteristics and practice environments.