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Updated: May 2, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
[Sociodemographic and reproductive characteristics associated with the increase of cesarean section practice in
Leticia Suárez-López1, Lourdes Campero1, Elvia De la Vara-Salazar1
1Dirección de Salud Reproductiva, Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
Objective:
To describe the trend of cesarean section practice in Mexico, and its association with women's sociodemographic and reproductive characteristics.
Materials And Methods:
Based on the 2000, 2006 and 2012 National Health Surveys, information on c-section was analyzed. A multivariate logistic regression model was used in 2012.
Results:
A 50.3% increase in the use of c-section was observed nationally from 2000 to 2012. Women more likely to undergo a c-section include those whose delivery care takes place in the private sector (OR=2.84, 95%CI:2.15-3.74). When associating women's age and parity, the greatest risks are observed among primiparous women between 12 and 19 years of age, and those aged 35 years and more (OR=6.02, 95%CI:1.24-29.26 and OR=5.20, 95%CI:2.41-11.21, respectively).
Conclusions:
Some recommendations to revert the increase of this clinical practice, especially when there is no full justification for its realization, are proposed.
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