Variations in use of childbirth interventions in 13 high-income countries: A multinational cross-sectional study
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 chil...
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Language: | English |
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Public Library of Science (PLOS)
2020
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Online Access: | https://doi.org/10.1371/journal.pmed.1003103 https://repositorio.uchile.cl/handle/2250/177520 |
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ftunivchile:oai:repositorio.uchile.cl:2250/177520 2023-05-15T16:49:42+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 Rydah, Eva Beeckman, Katrien BogaertsI, Annick Binfa Esbir, Lorena Frith, Lucy Gross, Mechthild M. Misselwitz, Björn Hálfdánsdóttir, Berglind Daly, Deirdre Corcoran, Paul Calleja Agius, Jean Calleja, Neville Gatt, Miriam Anne, Anne Britt Vika Declercq, Eugene Gissler, Mika Heino, Anna Lindgren, Helena de Jonge, Ank 2020 application/pdf https://doi.org/10.1371/journal.pmed.1003103 https://repositorio.uchile.cl/handle/2250/177520 en eng Public Library of Science (PLOS) PLoS Med 17 (5): e1003103 (2020) doi:10.1371/journal.pmed.1003103 https://repositorio.uchile.cl/handle/2250/177520 Attribution-NonCommercial-NoDerivs 3.0 Chile http://creativecommons.org/licenses/by-nc-nd/3.0/cl/ CC-BY-NC-ND PLOS Medicine Cesarean-section Perinatal health Epidural analgesia Normal birth Midwives Risk Women Labor Rates Mortality Artículo de revista 2020 ftunivchile https://doi.org/10.1371/journal.pmed.1003103 2022-12-25T00:50:46Z 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 relief, 19% to 83% versus 10% to 64% for epidural anaesthesia; 6% to 68% versus 2% to 30% for episiotomy in vaginal births; 3% to 30% versus 1% to 7% for instrumental vaginal births; and 42% to 70% versus 50% to 84% for spontaneous vaginal births. Countries with higher rates of births at.42 weeks had higher rates of births ... Article in Journal/Newspaper Iceland Universidad de Chile: Repositorio académico Norway PLOS Medicine 17 5 e1003103 |
institution |
Open Polar |
collection |
Universidad de Chile: Repositorio académico |
op_collection_id |
ftunivchile |
language |
English |
topic |
Cesarean-section Perinatal health Epidural analgesia Normal birth Midwives Risk Women Labor Rates Mortality |
spellingShingle |
Cesarean-section Perinatal health Epidural analgesia Normal birth Midwives Risk Women Labor Rates Mortality Seijmonsbergen Schermers, Anna E. van den Akker, Thomas Rydah, Eva Beeckman, Katrien BogaertsI, Annick Binfa Esbir, Lorena Frith, Lucy Gross, Mechthild M. Misselwitz, Björn Hálfdánsdóttir, Berglind Daly, Deirdre Corcoran, Paul Calleja Agius, Jean Calleja, Neville Gatt, Miriam Anne, Anne Britt Vika 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 |
Cesarean-section Perinatal health Epidural analgesia Normal birth Midwives Risk Women Labor Rates Mortality |
description |
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 relief, 19% to 83% versus 10% to 64% for epidural anaesthesia; 6% to 68% versus 2% to 30% for episiotomy in vaginal births; 3% to 30% versus 1% to 7% for instrumental vaginal births; and 42% to 70% versus 50% to 84% for spontaneous vaginal births. Countries with higher rates of births at.42 weeks had higher rates of births ... |
format |
Article in Journal/Newspaper |
author |
Seijmonsbergen Schermers, Anna E. van den Akker, Thomas Rydah, Eva Beeckman, Katrien BogaertsI, Annick Binfa Esbir, Lorena Frith, Lucy Gross, Mechthild M. Misselwitz, Björn Hálfdánsdóttir, Berglind Daly, Deirdre Corcoran, Paul Calleja Agius, Jean Calleja, Neville Gatt, Miriam Anne, Anne Britt Vika Declercq, Eugene Gissler, Mika Heino, Anna Lindgren, Helena de Jonge, Ank |
author_facet |
Seijmonsbergen Schermers, Anna E. van den Akker, Thomas Rydah, Eva Beeckman, Katrien BogaertsI, Annick Binfa Esbir, Lorena Frith, Lucy Gross, Mechthild M. Misselwitz, Björn Hálfdánsdóttir, Berglind Daly, Deirdre Corcoran, Paul Calleja Agius, Jean Calleja, Neville Gatt, Miriam Anne, Anne Britt Vika 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://doi.org/10.1371/journal.pmed.1003103 https://repositorio.uchile.cl/handle/2250/177520 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
PLOS Medicine |
op_relation |
PLoS Med 17 (5): e1003103 (2020) doi:10.1371/journal.pmed.1003103 https://repositorio.uchile.cl/handle/2250/177520 |
op_rights |
Attribution-NonCommercial-NoDerivs 3.0 Chile http://creativecommons.org/licenses/by-nc-nd/3.0/cl/ |
op_rightsnorm |
CC-BY-NC-ND |
op_doi |
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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1766039884564267008 |