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Table 1 Number of deliveries, caesarean rate in Auvergne in 2011 and 2012, and number of selected cases by maternity unit

From: Appropriateness of elective caesarean deliveries in a perinatal network: a cross-sectional study

Maternity unit Level* Date of file assessment Number of analysed case files Number of deliveries Global caesarean rate (n)%
     2011 2012 2011 2012 P value
1 III 23/11/11 26 3440 3654 (n = 736) 21.4 (n = 717) 19.6 0.06
2 II 21/11/11 15 1281 1319 (n = 195) 15.2 (n = 175) 13.3 0.15
3 II 12/12/11 12 1233 1250 (n = 233) 18.9 (n = 228) 18.2 0.67
4 II 09/11/11 20 1150 1229 (n = 236) 20.5 (n = 223) 18.1 0.14
5 II 17/10/11 24 924 923 (n = 207) 22.4 (n = 191) 20.7 0.37
6 II 09/01/12 19 1190 1198 (n = 211) 17.7 (n = 225) 18.8 0.51
7 II 19/12/11 41 2385 2312 (n = 570) 23.9 (n = 463) 20.0 0.001
8 I 16/11/11 10 344 349 (n = 80) 23.3 (n = 70) 20.1 0.31
9 I 05/12/11 19 466 498 (n = 107) 23.0 (n = 78) 15.7 0.004
10 I 16/12/11 6 720 656 (n = 119) 16.5 (n = 109) 16.6 0.96
Total RSPA** 10 units - 192 13,133 13,388 (n = 2,694) 20.5 (n = 2,479) 18.5 <0.001
  1. *Level of hospital units. Level I maternity units provide prenatal care and delivery services for women with normal pregnancies with no particular risks. These units have no neonatology services. The woman will be referred to a more appropriate maternity ward in case of a maternal or fetal disorder. Level II maternity units have both an obstetrics unit and a neonatology nursery that provides 24/7 monitoring and special care for at-risk neonates, including those whose condition deteriorates after birth, regardless of whether they were born in the establishment. In particular, they are authorised to care for preterm infants born at or after 32 weeks gestation without any notable respiratory disease. Level III units also have a neonatal intensive care unit that allows them to provide 24/7 care for newborns in serious distress or at risk of death, again regardless of whether they were born in the establishment. In particular, they are authorised to care for infants born before 32 weeks and/or weighing less than 1500 g.
  2. **RSPA=Auvergne perinatal network.