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Differences in Cesarean Delivery Rates for Puerto Rican Mothers in Puerto Rico and the U.S. Mainland, 2023.

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    This summary is machine-generated.

    Cesarean delivery rates were significantly higher for Puerto Rican mothers in Puerto Rico (50.9%) compared to those in the U.S. mainland (33.8%) in 2023. This disparity was observed across various maternal and delivery factors, highlighting a critical difference in obstetric care.

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    Area of Science:

    • Perinatal Health
    • Public Health Disparities
    • Reproductive Epidemiology

    Background:

    • Cesarean delivery rates vary globally and within populations.
    • Understanding demographic and geographic disparities in cesarean birth is crucial for equitable healthcare.
    • Puerto Rican mothers represent a significant demographic group with distinct health considerations.

    Purpose of the Study:

    • To compare cesarean delivery rates between Puerto Rican mothers in Puerto Rico and on the U.S. mainland in 2023.
    • To analyze these differences based on maternal age, gestational age, payment source, and state.

    Main Methods:

    • Utilized the National Vital Statistics System natality data file for 2023.
    • Included births in Puerto Rico (17,547) and the U.S. mainland (66,186) to mothers self-reporting Puerto Rican ethnicity.
    • Analyzed data by maternal age, gestational age, payment source, and state.

    Main Results:

    • Cesarean delivery rate in Puerto Rico was 50.9%, significantly higher than the U.S. mainland rate of 33.8%.
    • Higher rates in Puerto Rico were consistent across maternal age groups, most gestational ages, and all payment sources (private insurance, Medicaid, self-pay).
    • Disparities were observed across all states with reliable data and Washington D.C.

    Conclusions:

    • Puerto Rican mothers giving birth in Puerto Rico experienced substantially higher cesarean delivery rates than those in the U.S. mainland.
    • These differences persist across multiple demographic and clinical factors, indicating a need for further investigation into care practices and access.
    • Addressing these disparities is essential for improving perinatal outcomes and health equity for the Puerto Rican population.