Variations in use of childbirth interventions in 13 high-income countries: A multinational cross-sectional study
Publisher's version (útgefin grein) Background: Variations in intervention rates, without subsequent reductions in adverse outcomes, can indicate overuse. We studied variations in and associations between commonly used childbirth interventions and adverse outcomes, adjusted for population chara...
Published in: | PLOS Medicine |
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Language: | English |
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Online Access: | https://hdl.handle.net/20.500.11815/2425 https://doi.org/10.1371/journal.pmed.1003103 |
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ftopinvisindi:oai:opinvisindi.is:20.500.11815/2425 2023-05-15T16:49:04+02:00 Variations in use of childbirth interventions in 13 high-income countries: A multinational cross-sectional study Seijmonsbergen-Schermers, Anna E. van den Akker, Thomas Rydahl, Eva Beeckman, Katrien Bogaerts, Annick Binfa, Lorena Frith, Lucy Gross, Mechthild M. Misselwitz, Björn Halfdansdottir, Berglind Daly, Deirdre Corcoran, Paul Calleja-Agius, Jean Calleja, Neville Gatt, Miriam Vika Nilsen, Anne Britt Declercq, Eugene Gissler, Mika Heino, Anna Lindgren, Helena de Jonge, Ank Hjúkrunarfræðideild (HÍ) Faculty of Nursing (UI) Heilbrigðisvísindasvið (HÍ) School of Health Sciences (UI) Háskóli Íslands University of Iceland 2020-05-22 e1003103 https://hdl.handle.net/20.500.11815/2425 https://doi.org/10.1371/journal.pmed.1003103 en eng Public Library of Science (PLoS) PLOS Medicine;17(5) https://dx.plos.org/10.1371/journal.pmed.1003103 Seijmonsbergen-Schermers AE, van den Akker T, Rydahl E, Beeckman K, Bogaerts A, Binfa L, et al. (2020) Variations in use of childbirth interventions in 13 high-income countries: A multinational cross-sectional study. PLoS Medicine 17(5): e1003103. https://doi.org/10.1371/journal.pmed.1003103 1549-1676 https://hdl.handle.net/20.500.11815/2425 Plos Medicine doi:10.1371/journal.pmed.1003103 info:eu-repo/semantics/openAccess Childbirth Childbirth interventions Fæðing Deyfingar Fæðingarhjálp info:eu-repo/semantics/article 2020 ftopinvisindi https://doi.org/20.500.11815/2425 https://doi.org/10.1371/journal.pmed.1003103 2022-11-18T06:52:06Z Publisher's version (útgefin grein) Background: Variations in intervention rates, without subsequent reductions in adverse outcomes, can indicate overuse. We studied variations in and associations between commonly used childbirth interventions and adverse outcomes, adjusted for population characteristics. Methods and findings: In this multinational cross-sectional study, existing data on 4,729,307 singleton births at ≥37 weeks in 2013 from Finland, Sweden, Norway, Denmark, Iceland, Ireland, England, the Netherlands, Belgium, Germany (Hesse), Malta, the United States, and Chile were used to describe variations in childbirth interventions and outcomes. Numbers of births ranged from 3,987 for Iceland to 3,500,397 for the USA. Crude data were analysed in the Netherlands, or analysed data were shared with the principal investigator. Strict variable definitions were used and information on data quality was collected. Intervention rates were described for each country and stratified by parity. Uni- and multivariable analyses were performed, adjusted for population characteristics, and associations between rates of interventions, population characteristics, and outcomes were assessed using Spearman’s rank correlation coefficients. Considerable intercountry variations were found for all interventions, despite adjustments for population characteristics. Adjustments for ethnicity and body mass index changed odds ratios for augmentation of labour and episiotomy. Largest variations were found for augmentation of labour, pain relief, episiotomy, instrumental birth, and cesarean section (CS). Percentages of births at ≥42 weeks varied from 0.1% to 6.7%. Rates among nulliparous versus multiparous women varied from 56% to 80% versus 51% to 82% for spontaneous onset of labour; 14% to 36% versus 8% to 28% for induction of labour; 3% to 13% versus 7% to 26% for prelabour CS; 16% to 48% versus 12% to 50% for overall CS; 22% to 71% versus 7% to 38% for augmentation of labour; 50% to 93% versus 25% to 86% for any intrapartum pain ... Article in Journal/Newspaper Iceland Opin vísindi (Iceland) Norway PLOS Medicine 17 5 e1003103 |
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Open Polar |
collection |
Opin vísindi (Iceland) |
op_collection_id |
ftopinvisindi |
language |
English |
topic |
Childbirth Childbirth interventions Fæðing Deyfingar Fæðingarhjálp |
spellingShingle |
Childbirth Childbirth interventions Fæðing Deyfingar Fæðingarhjálp Seijmonsbergen-Schermers, Anna E. van den Akker, Thomas Rydahl, Eva Beeckman, Katrien Bogaerts, Annick Binfa, Lorena Frith, Lucy Gross, Mechthild M. Misselwitz, Björn Halfdansdottir, Berglind Daly, Deirdre Corcoran, Paul Calleja-Agius, Jean Calleja, Neville Gatt, Miriam Vika Nilsen, Anne Britt Declercq, Eugene Gissler, Mika Heino, Anna Lindgren, Helena de Jonge, Ank Variations in use of childbirth interventions in 13 high-income countries: A multinational cross-sectional study |
topic_facet |
Childbirth Childbirth interventions Fæðing Deyfingar Fæðingarhjálp |
description |
Publisher's version (útgefin grein) Background: Variations in intervention rates, without subsequent reductions in adverse outcomes, can indicate overuse. We studied variations in and associations between commonly used childbirth interventions and adverse outcomes, adjusted for population characteristics. Methods and findings: In this multinational cross-sectional study, existing data on 4,729,307 singleton births at ≥37 weeks in 2013 from Finland, Sweden, Norway, Denmark, Iceland, Ireland, England, the Netherlands, Belgium, Germany (Hesse), Malta, the United States, and Chile were used to describe variations in childbirth interventions and outcomes. Numbers of births ranged from 3,987 for Iceland to 3,500,397 for the USA. Crude data were analysed in the Netherlands, or analysed data were shared with the principal investigator. Strict variable definitions were used and information on data quality was collected. Intervention rates were described for each country and stratified by parity. Uni- and multivariable analyses were performed, adjusted for population characteristics, and associations between rates of interventions, population characteristics, and outcomes were assessed using Spearman’s rank correlation coefficients. Considerable intercountry variations were found for all interventions, despite adjustments for population characteristics. Adjustments for ethnicity and body mass index changed odds ratios for augmentation of labour and episiotomy. Largest variations were found for augmentation of labour, pain relief, episiotomy, instrumental birth, and cesarean section (CS). Percentages of births at ≥42 weeks varied from 0.1% to 6.7%. Rates among nulliparous versus multiparous women varied from 56% to 80% versus 51% to 82% for spontaneous onset of labour; 14% to 36% versus 8% to 28% for induction of labour; 3% to 13% versus 7% to 26% for prelabour CS; 16% to 48% versus 12% to 50% for overall CS; 22% to 71% versus 7% to 38% for augmentation of labour; 50% to 93% versus 25% to 86% for any intrapartum pain ... |
author2 |
Hjúkrunarfræðideild (HÍ) Faculty of Nursing (UI) Heilbrigðisvísindasvið (HÍ) School of Health Sciences (UI) Háskóli Íslands University of Iceland |
format |
Article in Journal/Newspaper |
author |
Seijmonsbergen-Schermers, Anna E. van den Akker, Thomas Rydahl, Eva Beeckman, Katrien Bogaerts, Annick Binfa, Lorena Frith, Lucy Gross, Mechthild M. Misselwitz, Björn Halfdansdottir, Berglind Daly, Deirdre Corcoran, Paul Calleja-Agius, Jean Calleja, Neville Gatt, Miriam Vika Nilsen, Anne Britt Declercq, Eugene Gissler, Mika Heino, Anna Lindgren, Helena de Jonge, Ank |
author_facet |
Seijmonsbergen-Schermers, Anna E. van den Akker, Thomas Rydahl, Eva Beeckman, Katrien Bogaerts, Annick Binfa, Lorena Frith, Lucy Gross, Mechthild M. Misselwitz, Björn Halfdansdottir, Berglind Daly, Deirdre Corcoran, Paul Calleja-Agius, Jean Calleja, Neville Gatt, Miriam Vika Nilsen, Anne Britt Declercq, Eugene Gissler, Mika Heino, Anna Lindgren, Helena de Jonge, Ank |
author_sort |
Seijmonsbergen-Schermers, Anna E. |
title |
Variations in use of childbirth interventions in 13 high-income countries: A multinational cross-sectional study |
title_short |
Variations in use of childbirth interventions in 13 high-income countries: A multinational cross-sectional study |
title_full |
Variations in use of childbirth interventions in 13 high-income countries: A multinational cross-sectional study |
title_fullStr |
Variations in use of childbirth interventions in 13 high-income countries: A multinational cross-sectional study |
title_full_unstemmed |
Variations in use of childbirth interventions in 13 high-income countries: A multinational cross-sectional study |
title_sort |
variations in use of childbirth interventions in 13 high-income countries: a multinational cross-sectional study |
publisher |
Public Library of Science (PLoS) |
publishDate |
2020 |
url |
https://hdl.handle.net/20.500.11815/2425 https://doi.org/10.1371/journal.pmed.1003103 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
PLOS Medicine;17(5) https://dx.plos.org/10.1371/journal.pmed.1003103 Seijmonsbergen-Schermers AE, van den Akker T, Rydahl E, Beeckman K, Bogaerts A, Binfa L, et al. (2020) Variations in use of childbirth interventions in 13 high-income countries: A multinational cross-sectional study. PLoS Medicine 17(5): e1003103. https://doi.org/10.1371/journal.pmed.1003103 1549-1676 https://hdl.handle.net/20.500.11815/2425 Plos Medicine doi:10.1371/journal.pmed.1003103 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/20.500.11815/2425 https://doi.org/10.1371/journal.pmed.1003103 |
container_title |
PLOS Medicine |
container_volume |
17 |
container_issue |
5 |
container_start_page |
e1003103 |
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1766039132039020544 |