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Related Experiment Videos

Differences among obstetricians in caesarean section rates

S M Menticoglou1

  • 1Department of Obstetrics, Gynaecology and Reproductive Sciences, University of Manitoba, Winnipeg, Canada.

The Australian & New Zealand Journal of Obstetrics & Gynaecology
|January 16, 1998
PubMed
Summary

Caesarean section rates varied widely among 15 obstetricians for low-risk births. This variation was not linked to patient outcomes, suggesting other factors influence surgical delivery decisions.

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Area of Science:

  • Obstetrics and Gynecology
  • Clinical Epidemiology

Background:

  • Caesarean section rates have been increasing globally.
  • Variability in surgical intervention rates among clinicians is a significant concern in maternal healthcare.

Purpose of the Study:

  • To investigate the variation in Caesarean section rates among obstetricians for low-risk pregnancies.
  • To determine if obstetrician-specific Caesarean rates correlate with perinatal outcomes.

Main Methods:

  • Retrospective analysis of 5,559 deliveries of nulliparous women with a single cephalic infant weighing at least 2,500g.
  • Data collected from one hospital, examining rates across 15 individual obstetricians.

Main Results:

  • Significant variation observed in Caesarean section rates among obstetricians, ranging from 5.5% to 20.1% overall.

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  • No correlation found between individual obstetrician Caesarean rates and perinatal outcomes.
  • Differences in rates could not be attributed to institutional, physician, patient, or economic factors.

    • Conclusions:

    • Wide disparities in Caesarean section rates exist among obstetricians even for low-risk pregnancies.
    • Perinatal outcomes do not explain the observed variations in surgical intervention.
    • Further research is needed to understand the drivers of these differences in clinical practice.