Related Experiment Video
Updated: Aug 5, 2025
08:49
External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
14.6K
Cesarean Delivery Trends Among Patients at Low Risk for Cesarean Delivery in the US, 2000-2019
Anna M Frappaolo1, Teresa C Logue2, Dena Goffman1
1Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, New York, New York.
JAMA Network Open
|March 29, 2023
Summary
Cesarean deliveries for low-risk patients increased initially, then decreased. Labor arrest C-sections became less common, while nonreassuring fetal status C-sections rose, highlighting shifting trends in obstetric interventions.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Health Services Research
Background:
- Reducing unnecessary cesarean deliveries is a global health priority.
- Limited national US data exist on trends in indications for low-risk cesarean delivery.
Purpose of the Study:
- To determine temporal trends and indications for cesarean delivery among low-risk patients over a 20-year period (2000-2019).
Main Methods:
- Cross-sectional study using the National Inpatient Sample (NIS) from 2000-2019.
- Identified low-risk births using Society for Maternal-Fetal Medicine (SMFM) criteria and additional factors.
- Analyzed trends using joinpoint regression to estimate average annual percentage change (AAPC).
Main Results:
- Cesarean deliveries for low-risk patients increased from 9.7% to 13.9% (2000-2009), plateaued, then decreased to 11.1% (2019).
- Cesarean deliveries for nonreassuring fetal status increased by 2.1% annually (2000-2019).
- Cesarean deliveries for labor arrest peaked in 2009 and subsequently decreased, with reductions across all phases (latent, active, second stage).
Conclusions:
- Cesarean delivery rates for low-risk patients declined in the later study years.
- Cesarean deliveries for labor arrest decreased, while those for nonreassuring fetal status increased, indicating evolving clinical practices and indications.
More Related Videos
Related Concept Videos
01:30Current Trends in Nursing II
1.3K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.3K
01:29Issues And Trends In Healthcare Delivery System
5.7K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.7K
01:28Current Trends in Nursing I
1.5K
Current trends in nursing include:
1.5K
01:22Healthcare Associated Infections II: Preventive Measures
2.7K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.7K
01:52Regression Toward the Mean
6.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K
01:26Factors Affecting the Risk of Infection
12.1K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
12.1K