Journal article
Increases in Caesarean Delivery Rates and Change of Perinatal Outcomes in Low- and Middle-Income Countries: A Hospital-Level Analysis of Two WHO Surveys
Y Zhao, J Zhang, J Zamora, JP Vogel, JP Souza, K Jayaratne, T Ganchimeg, E Ortiz-Panozo, B Hernandez, OT Oladapo, MR Torloni, N Morisaki, R Mori, C Pileggi-Castro, Ö Tunçalp, X Shen, AP Betrán
Paediatric and Perinatal Epidemiology | WILEY | Published : 2017
DOI: 10.1111/ppe.12363
Abstract
Background: Maternal and neonatal outcomes have improved substantially. During the same period, the caesarean delivery rate soared. The aim of this analysis was to determine whether an increase in caesarean rate was associated with an improvement in perinatal outcome at an institutional level in low- and middle-income countries. Methods: The WHO Global Survey on Maternal and Perinatal Health (WHOGS) and the WHO Multi-Country Survey on Maternal and Newborn Health (WHOMCS) were two multi-country, facility-based, cross-sectional surveys conducted in 2004–08 and 2010–11, respectively. The increase in caesarean rate and the change of prevalence of adverse perinatal outcomes were calculated using ..
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Awarded by United States Agency for International Development
Funding Acknowledgements
This study was partially funded by a grant from UNDP . UNFPA . UNICEF . WHO . World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland and by the National Natural Science Foundation of China (Grant No. 81273091). The funders had no role in any aspect of the study. The authors have independence of research from the funders and have not been paid to write this article.