You are viewing the site in preview mode

Skip to main content

Advertisement

Table 4 Single (main) reason for pre-labour caesarean, by previous caesarean and country

From: Why 'down under' is a cut above: a comparison of rates of and reasons for caesarean section in England and Australia

Reasons for caesarean All women No previous caesarean Previous caesarean
England Queensland OR (95% CI)+ England Queensland OR (95% CI)+ England Queensland OR (95% CI)+
% of PLCS (N = 642) % of all births (N = 5,242) % of PLCS (N = 726) % of all births (N = 3,463) % of PLCS (N = 336) % of all births^(N = 4,655) % of PLCS (N = 305) % of all births^(N = 2,843) % of PLCS (N = 306) % of all births#(N = 587) % of PLCS (N = 421) % of all births#(N = 620)
Previous Caesarean Only 17.1 2.1 30.9 6.5 3.40 (2.69-4.30)       35.9 18.7 53.2 36.1 2.82 (2.15-3.70)
Breech Presentation 24.0 2.9 16.0 3.4 0.95 (0.73-1.23) 37.2 2.7 29.5 3.2 1.02 (0.76-1.36) 9.5 4.9 6.2 4.2 0.73 (0.42-1.28)
Maternal Health Concerns 23.4 2.9 18.6 3.9 0.90 (0.69-1.17) 22.9 1.7 24.9 2.7 1.40 (1.00-1.97) 23.9 12.4 14.0 9.5 0.49 (0.33-0.74)
Suspected Disproportion 8.6 1.0 10.6 2.2 1.60 (1.12-2.30) 5.1 0.4 10.8 1.2 2.78 (1.53-5.05) 12.4 6.5 10.5 7.1 1.16 (0.74-1.83)
Fetal Distress 8.4 1.0 1.2 0.3 0.22 (0.11-0.44) 12.2 0.9 2.3 0.3 0.27 (0.12-0.60) 4.2 2.2 0.5 0.3 0.10 (0.02-0.46)
Carer/Hospital Recommendation - - 6.5 1.4 - - - 10.8 1.2 - - - 3.3 2.3 -
Maternal Preference 3.4 0.4 4.1 0.9 2.03 (1.16-3.56) 3.0 0.2 8.5 0.9 4.47 (2.14-9.33) 3.9 2.0 1.0 0.7 0.33 (0.11-1.04)
Obstetric History 4.4 0.5 3.7 0.8 1.08 (0.63-1.87) 3.9 0.3 4.3 0.5 1.58 (0.73-3.44) 4.9 2.6 3.3 2.3 0.75 (0.35-1.61)
Fetal Health Concerns 1.9 0.2 2.2 0.5 1.37 (0.63-2.97) 2.4 0.2 3.0 0.3 1.44 (0.54-3.83) 1.3 0.7 1.7 1.1 1.09 (0.30-3.94)
Malpresentation 0.9 0.1 0.7 0.1 0.97 (0.28-3.34) 1.2 0.1 1.3 0.1 1.08 (0.25-4.64) 0.7 0.3 0.2 0.2 0.40 (0.04-4.50)
Premature Labour 0.8 0.1 0.4 0.1 0.52 (0.12-2.29) 0.9 0.1 - - - 0.7 0.3 0.7 0.5 1.02 (0.16-6.50)
Shared Preference - - 2.6 0.6 - - - 1.0 0.1 - - - 3.8 2.6 -
Multiple Pregnancy 2.2 0.3 0.1 0.0 0.09 (0.01-0.72) 3.3 0.2 0.3 0.0 0.14 (0.02-1.10) 1.0 0.5 - - -
Other 5.0 0.6 2.3 0.5 0.80 (0.43-1.47) 8.8 0.6 3.3 0.4 0.65 (0.30-1.37) 1.6 0.9 1.7 1.1 1.32 (0.41-4.25)
  1. Note. PLCS = Pre-labour caesarean section. + The odds for women in Queensland (relative to women in England) of having had a caesarean for the specified reason. ^ The total number of women without a previous caesarean (irrespective of mode of birth for index pregnancy). # The total number of women with a previous caesarean (irrespective of mode of birth).