3144.1 Public Health Impact of the Primary Cesarean Section Epidemic

Monday, November 9, 2009: 10:30 AM
This session will address the caesarean sections epidemic in the United States. Pregnancy and birth are normal bodily functions. Yet in a prosperous country, where nutrition and life style should provide adequately for all to “go well,” hospital caesarean rates in the U.S. have soared to over 30%, -- twice the recommended upper limit set by the WHO. With recent analyses that demonstrate a higher neonatal mortality among women who have caesareans in the absence of labour complications and other labour/delivery procedures, While U.S. cesarean rates have risen to 31.1% overall and 22.1% for primary cesareans in 2006, little attention has been paid to race-ethnicity disparities in these rates. Black non-Hispanic (BNH) mothers have the highest primary cesarean rate (24.1% ) among major race/ethnicity groups in the U.S. compared to 22.6% for white non-Hispanic (WNH) mothers and 19.9% for Hispanic mothers. The major question in this study is whether or not differences in primary cesarean rates by race/ethnicity can be explained by medical risk factors and/or other demographic characteristics.
Session Objectives: 1.Describe the marker which infdicates there is no reason to have a Caesarean rate over 15% and the correlation with increased maternal mortality and perinatal mortality if it is. 2.Describe the World Health Organizations benchmark for Caesarean Section Rates. 3.List the 5 most common reasons for Caesarean Sections
Carol A. Nelson, LM, CPM and Barbara Levin, MD, MPH

10:35 AM
10:50 AM
Causes of Racial and Ethnic Disparities in Primary Cesarean Section Rates
Eugene Declercq, PhD, Mary Barger, CNM, MPH, Howard Cabral, PhD, Judith Weiss, ScD, Milton Kotelchuck, MPH, PhD, MA and Mark McLaughlin
11:05 AM
11:20 AM

See individual abstracts for presenting author's disclosure statement and author's information.

Organized by: Maternal and Child Health
Endorsed by: Community Health Workers SPIG, Socialist Caucus, Women's Caucus

CE Credits: Medical (CME), Health Education (CHES), Nursing (CNE), Public Health (CPH)