Changes in the cesarean section rate in Korea (1982-2012) and a review of the associated factors.
J Korean Med Sci
; 29(10): 1341-52, 2014 Oct.
Article
em En
| MEDLINE
| ID: mdl-25368486
ABSTRACT
Although Cesarean section (CS) itself has contributed to the reduction in maternal and perinatal mortality, an undue rise in the CS rate (CSR) has been issued in Korea as well as globally. The CSR in Korea increased over the past two decades, but has remained at approximately 36% since 2006. Contributing factors associated with the CSR in Korea were an improvement in socio-economic status, a higher maternal age, a rise in multiple pregnancies, and maternal obesity. We found that countries with a no-fault compensation system maintained a lower CSR compared to that in countries with civil action, indicating the close relationship between the CSR and the medico-legal system within a country. The Korean government has implemented strategies including an incentive system relating to the CSR or encouraging vaginal birth after Cesarean to decrease CSR, but such strategies have proved ineffective. To optimize the CSR in Korea, efforts on lowering the maternal childbearing age or reducing maternal obesity are needed at individual level. And from a national view point, reforming health care system, which could encourage the experienced obstetricians to be trained properly and be relieved from legal pressure with deliveries is necessary.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Cesárea
/
Nascimento Vaginal Após Cesárea
/
Seguro Saúde
Tipo de estudo:
Risk_factors_studies
Limite:
Female
/
Humans
/
Pregnancy
País como assunto:
Asia
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article