Journal article

Role of public and private funding in the rising caesarean section rate: a cohort study

Kristjana Einarsdottir, Fatima Haggar, Gavin Pereira, Helen Leonard, Nick de Klerk, Fiona J Stanley, Sarah Stock

BMJ OPEN | BMJ PUBLISHING GROUP | Published : 2013

Abstract

OBJECTIVE: The caesarean section rates have been rising in the developed world for over two decades. This study assessed the involvement of the public and private health sectors in this increase. DESIGN: Population-based, retrospective cohort study. SETTING: Public and private hospitals in Western Australia. PARTICIPANTS: Included in this study were 155 646 births to nulliparous women during 1996-2008. MAIN OUTCOME MEASURES: Caesarean section rates were calculated separately for four patient type groups defined according to mothers' funding source at the time of birth (public/private) and type of delivery hospital (public/private). The average annual per cent change (AAPC) for the caesarean ..

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Grants

Awarded by Australia's National Health and Medical Research Council


Awarded by Medical Research Council


Funding Acknowledgements

The research was funded by the Australia's National Health and Medical Research Council (grants 634533 and 573122). The funder had no involvement in the analysis or the writing of the manuscript.