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Published on: June 6, 2020
Adolescent caesarean delivery in the US military health care system
David A Klein1, Ginny Gildengorin, Peter Mosher
1Family Health Clinic, Lajes Air Base, Azores, Portugal. david.klein@lajes.af.mil
Objectives:
Determine cesarean delivery (CD) rates and associated demographics among military dependent teenagers.
Methods:
United States military health care claims records of live births from 2003-2006 to 13- through 19-year-old dependent children were analyzed using logistic regression.
Results:
The CD rate rose from 17% in 2003 to 20% in 2006. Rates were significantly higher for ages 18 and 19, for African American sponsors' children, and those who gave birth in a civilian facility. Rates did not differ significantly by sponsor's military rank.
Conclusions:
Teenagers in the military health care system have increasing rates of CD. Independent demographic risk factors for teenage CD include age > 17 years, sponsor's race African American, and delivery at a civilian facility.
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