A Surgical Birth: Investigating the Socioeconomic Characteristics of Individuals Who Elect for a Cesarean Delivery
Abstract
Introduction: Cesarean section is a surgical intervention that can be necessary for the survival of mothers and newborns. Nonetheless, doing so can result in detrimental maternal and fetal consequences. Cesarean delivery is increasingly common and often performed at the request of the mother.
Objective: This study aims to explore the socioeconomic characteristics of women who elect for cesarean delivery, including the impact of race, income, and medical risk factors on their decision.
Methods: Data from the Pregnancy Risk Assessment Monitoring System (PRAMS) phase 8 identified women who elected to have a cesarean delivery and did not want a vaginal delivery. Logistic regression was used to calculate odds ratios, and 95% confidence intervals were calculated to assess the association between income, race, and medical risk factors (diabetes, hypertension, previous delivery complications) and CDMR.
Results: From 2016-2022, 151 women did not want a vaginal delivery and requested a cesarean delivery. In a combined analysis, older women had 1.06 (1.01, 1.10) times the odds of requesting a cesarean delivery compared to younger women. Additionally, African American women had 1.96 (1.29, 2.97) times the odds of requesting a cesarean delivery compared to white women.
Discussion: The data show that select socioeconomic variables, including age and race, play a significant role in women choosing to undergo cesarean delivery without a medical necessity. The higher tendency for African American/Black women and older women to opt for cesarean deliveries highlights possible inequalities in healthcare access and information.
Conclusion: The research reveals notable relationships between select socioeconomic factors and the likelihood of women opting for cesarean deliveries even in the absence of medical necessity. These findings highlight individual groups that may benefit from targeted education regarding the benefits and risks of childbearing methods.
Keywords: maternal health, cesarean delivery
Keywords
maternal health, cesarean delivery
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A Surgical Birth: Investigating the Socioeconomic Characteristics of Individuals Who Elect for a Cesarean Delivery
Introduction: Cesarean section is a surgical intervention that can be necessary for the survival of mothers and newborns. Nonetheless, doing so can result in detrimental maternal and fetal consequences. Cesarean delivery is increasingly common and often performed at the request of the mother.
Objective: This study aims to explore the socioeconomic characteristics of women who elect for cesarean delivery, including the impact of race, income, and medical risk factors on their decision.
Methods: Data from the Pregnancy Risk Assessment Monitoring System (PRAMS) phase 8 identified women who elected to have a cesarean delivery and did not want a vaginal delivery. Logistic regression was used to calculate odds ratios, and 95% confidence intervals were calculated to assess the association between income, race, and medical risk factors (diabetes, hypertension, previous delivery complications) and CDMR.
Results: From 2016-2022, 151 women did not want a vaginal delivery and requested a cesarean delivery. In a combined analysis, older women had 1.06 (1.01, 1.10) times the odds of requesting a cesarean delivery compared to younger women. Additionally, African American women had 1.96 (1.29, 2.97) times the odds of requesting a cesarean delivery compared to white women.
Discussion: The data show that select socioeconomic variables, including age and race, play a significant role in women choosing to undergo cesarean delivery without a medical necessity. The higher tendency for African American/Black women and older women to opt for cesarean deliveries highlights possible inequalities in healthcare access and information.
Conclusion: The research reveals notable relationships between select socioeconomic factors and the likelihood of women opting for cesarean deliveries even in the absence of medical necessity. These findings highlight individual groups that may benefit from targeted education regarding the benefits and risks of childbearing methods.
Keywords: maternal health, cesarean delivery
