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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Recommendations for routine reporting on indications for cesarean delivery in developing countries
Birth, Volume 35, No. 3, Year 2008
Notification
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Description
Background: Cesarean delivery rates are increasing rapidly in many developing countries, particularly among wealthy women. Poor women have lower rates, often so low that they do not reach the minimum rate of 1 percent. Little data are available on clinical indications for cesarean section, information that could assist in understanding why cesarean delivery rates have changed. This paper presents recommendations for routine reporting on indications for cesarean delivery in developing countries. These recommendations resulted from an international consultation of researchers held in February 2006 to promote the collection of comparable data to understand change in, or composition of, the cesarean delivery rate in developing countries. Methods: Data are presented from selected countries, categorizing cesareans by three classification systems. Results: A single classification system was recommended for use in both high and low cesarean delivery rate settings, given that underuse and overuse of cesarean section are evident within many populations. The group recommended a hierarchical categorization, prioritizing cesareans performed for absolute maternal indications. Categorization among the remaining nonabsolute indications is based on the primary indication for the procedure and include maternal and fetal indications and psychosocial indications, required for high cesarean delivery rate settings. Conclusions: Data on indications for cesarean sections are available everywhere the procedure is performed. All that is required is compilation and review at facility and at higher levels. Advocacy within ministries of health and medical professional organizations is required to advance these recommendations since researchers have inadequately communicated the health effects of both underuse and overuse of cesarean delivery. © 2008, Copyright the Authors.
Authors & Co-Authors
Stanton, Cynthia K.
Unknown Affiliation
Ronsmans, Carine
Unknown Affiliation
Bailey, Patricia E.
Unknown Affiliation
Belizán, J.
Unknown Affiliation
Buekens, Pierre M.
Unknown Affiliation
Chen, Qian
Unknown Affiliation
Cissé, Cheikh Tidiane
Unknown Affiliation
Creanga, Andreea A.
Unknown Affiliation
de Bernis, Luc
Unknown Affiliation
Dubourg, Dominique
Unknown Affiliation
Farrell, El Marie
Unknown Affiliation
Holtz, Sara A.
Unknown Affiliation
Lippeveld, Theo
Unknown Affiliation
Moran, Allisyn C.
Unknown Affiliation
Shaw, Dorothy
Unknown Affiliation
Thach, Tran Son
Unknown Affiliation
Thomas, Jane
Unknown Affiliation
Wright, Linda L.
Unknown Affiliation
Statistics
Citations: 102
Authors: 18
Affiliations: 17
Identifiers
Doi:
10.1111/j.1523-536X.2008.00241.x
ISSN:
07307659
e-ISSN:
1523536X
Research Areas
Health System And Policy
Maternal And Child Health
Participants Gender
Female