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Article: Rates of Cesarean Births in Hong Kong: 1987-1999

TitleRates of Cesarean Births in Hong Kong: 1987-1999
Authors
Issue Date2001
PublisherBlackwell Publishing, Inc. The Journal's web site is located at http://www.blackwellpublishing.com/journals/BIR
Citation
Birth, 2001, v. 28 n. 3, p. 166-172 How to Cite?
AbstractBackground: High cesarean birth rates are an issue of international public health concern. The purpose of this paper was to examine the annual incidence and secular trend of cesarean births in Hong Kong and to correlate these rates with socioeconomic. demographic, and health indicators for the population since 1987. Methods: This was a descriptive and ecologie study. Annual population rates of cesarean sections were estimated for 1987 from a population-based survey, and for 1993 through 1999 from government data sources. The number of excess cesarean sections was calculated for each year using the 15 percent upper limit as proposed by the World Health Organization. Results: From 1987 to 1999 the overall annual cesarean section rate rose steadily from 16.6 to 27.4 per 100 hospital deliveries, resulting in a 65 percent increase over 12 years. The mean difference in rates of surgical delivery between public (meanpublic = 16.0%) and private (meanprivate = 43.4%) institutions was 27.4 percent (95% confidence interval (CI) = 24.1, 30.7; p < 0.001). Conclusions: This is the first systematic report of secular variations of cesarean delivery rates in Asia. The high rates and increasing trend represent an unnecessary excess risk for mothers and their infants. Various strategies combating high cesarean rates have been proposed and have succeeded elsewhere. Concerted action from health care professionals, public health authorities, the general population, and the media is urgently required to implement solutions to reduce the rate of cesarean delivery.
Persistent Identifierhttp://hdl.handle.net/10722/86838
ISSN
2015 Impact Factor: 1.867
2015 SCImago Journal Rankings: 0.763
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLeung, GMen_HK
dc.contributor.authorLam, THen_HK
dc.contributor.authorThach, TQen_HK
dc.contributor.authorWan, Sen_HK
dc.contributor.authorHo, LMen_HK
dc.date.accessioned2010-09-06T09:21:57Z-
dc.date.available2010-09-06T09:21:57Z-
dc.date.issued2001en_HK
dc.identifier.citationBirth, 2001, v. 28 n. 3, p. 166-172en_HK
dc.identifier.issn0730-7659en_HK
dc.identifier.urihttp://hdl.handle.net/10722/86838-
dc.description.abstractBackground: High cesarean birth rates are an issue of international public health concern. The purpose of this paper was to examine the annual incidence and secular trend of cesarean births in Hong Kong and to correlate these rates with socioeconomic. demographic, and health indicators for the population since 1987. Methods: This was a descriptive and ecologie study. Annual population rates of cesarean sections were estimated for 1987 from a population-based survey, and for 1993 through 1999 from government data sources. The number of excess cesarean sections was calculated for each year using the 15 percent upper limit as proposed by the World Health Organization. Results: From 1987 to 1999 the overall annual cesarean section rate rose steadily from 16.6 to 27.4 per 100 hospital deliveries, resulting in a 65 percent increase over 12 years. The mean difference in rates of surgical delivery between public (meanpublic = 16.0%) and private (meanprivate = 43.4%) institutions was 27.4 percent (95% confidence interval (CI) = 24.1, 30.7; p < 0.001). Conclusions: This is the first systematic report of secular variations of cesarean delivery rates in Asia. The high rates and increasing trend represent an unnecessary excess risk for mothers and their infants. Various strategies combating high cesarean rates have been proposed and have succeeded elsewhere. Concerted action from health care professionals, public health authorities, the general population, and the media is urgently required to implement solutions to reduce the rate of cesarean delivery.en_HK
dc.languageengen_HK
dc.publisherBlackwell Publishing, Inc. The Journal's web site is located at http://www.blackwellpublishing.com/journals/BIRen_HK
dc.relation.ispartofBirthen_HK
dc.subject.meshAdulten_HK
dc.subject.meshBirth Rate - trendsen_HK
dc.subject.meshCesarean Section - statistics & numerical data - trendsen_HK
dc.subject.meshDemographyen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHealth Status Indicatorsen_HK
dc.subject.meshHong Kong - epidemiologyen_HK
dc.subject.meshHospitals, Maternity - statistics & numerical data - trendsen_HK
dc.subject.meshHospitals, Private - statistics & numerical data - trendsen_HK
dc.subject.meshHospitals, Public - statistics & numerical data - trendsen_HK
dc.subject.meshHumansen_HK
dc.subject.meshIncidenceen_HK
dc.subject.meshPregnancyen_HK
dc.subject.meshSocioeconomic Factorsen_HK
dc.titleRates of Cesarean Births in Hong Kong: 1987-1999en_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0730-7659&volume=28&spage=166&epage=172&date=2001&atitle=Rates+of+Cesarean+births+in+Hong+Kong:+1987-1999en_HK
dc.identifier.emailLeung, GM:gmleung@hku.hken_HK
dc.identifier.emailLam, TH:hrmrlth@hkucc.hku.hken_HK
dc.identifier.emailThach, TQ:thach@hku.hken_HK
dc.identifier.emailHo, LM:lmho@hkucc.hku.hken_HK
dc.identifier.authorityLeung, GM=rp00460en_HK
dc.identifier.authorityLam, TH=rp00326en_HK
dc.identifier.authorityThach, TQ=rp00450en_HK
dc.identifier.authorityHo, LM=rp00360en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1046/j.1523-536x.2001.00166.xen_HK
dc.identifier.pmid11552964-
dc.identifier.scopuseid_2-s2.0-0035459408en_HK
dc.identifier.hkuros65075en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0035459408&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume28en_HK
dc.identifier.issue3en_HK
dc.identifier.spage166en_HK
dc.identifier.epage172en_HK
dc.identifier.isiWOS:000170557400004-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLeung, GM=7007159841en_HK
dc.identifier.scopusauthoridLam, TH=7202522876en_HK
dc.identifier.scopusauthoridThach, TQ=6602850066en_HK
dc.identifier.scopusauthoridWan, S=7202724248en_HK
dc.identifier.scopusauthoridHo, LM=7402955625en_HK

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