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Created on : 23 May 2005
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

Occupation and risk of cesarean section: study based on the perinatal survey of Baden-Württemberg, Germany. Archives of Gynecology and Obstetrics 2005;271(4):338-342.

Author(s) :

Simoes E, Kunz S, Bosing-Schwenkglenks M, Schmahl FW.

Year of publication :

2005

URL(s) :

http://springerlink.metapress.com/media/788Y66YYMQ…

Résumé (français)  :

Abstract (English)  :

OBJECTIVES The aim of this study was to assess the current influence of educational attainment and occupation on maternal obstetrical risk associated with cesarean section under the conditions of an industrialized country and provision of universal coverage.

MATERIALS AND METHODS:The perinatal survey data 1998–2001 of the German state of Baden-Württemberg were studied comparing method of delivery for the different occupational categories raised in the survey and the influence of antenatal care utilization. For statistical analysis chi square test, Fishers exact test and chi square test for trends were used. Relative risks describe the risk for the exposed.

RESULTS: Cesarean section rate increased for all groups over the studied four years period. High rates of surgical deliveries were found for the categories high salaried position and unskilled workers. Housewives, the largest group of pregnant women in Baden-Württemberg, delivered significantly less often by cesarean section (75% vaginal deliveries) than women of all other groups (66% vaginal deliveries on the average). In case of low utilization of antenatal care (<5 checks) risk of cesarean section and rate of complications (as blood loss >1,000 ml, hysterectomy) associated with cesarean section are significantly higher.

CONCLUSIONS: Differences in an individual womans risk of having a cesarean section is, besides many other factors, associated with occupation. Antenatal care promotion should target the collective of unskilled workers, at special risk for insufficient use of prenatal care and high rate of cesarean delivery.

Sumário (português)  :

Resumen (español)  :

Full text (private) :

Comments :

Texte en accès libre.

Argument (français) :

Les femmes les plus à risque de césarienne ou extraction instrumentale sont les ouvriers non qualifiés, et inversement la catégorie des hauts salaires. Les femmes les moins à risque sont les femmes au foyer.

Argument (English):

Argumento (português):

Argumento (español):

Keywords :

➡ c-section/caesarean ; history, sociology ; evidence-based medicine/midwifery ; survey ; instrumental delivery

Author of this record :

Cécile Loup — 23 May 2005