Rural-urban and racial differences in cesarean deliveries before and during the COVID-19 pandemic in South Carolina.

ABSTRACT:

Problem

Unnecessary cesarean delivery increases the risk of complications for birthing people and infants.

Background

Examining the intersectionality of rural and racial disparities in low-risk cesarean delivery is necessary to improve equity in quality obstetrics care.

Aim

To evaluate rural and racial/ethnic differences in Nulliparous, Term, Singleton, Vertex (NTSV) and primary cesarean delivery rates before and during the COVID-19 pandemic in South Carolina.

Methods

This retrospective cohort study used birth certificates linked to all-payer hospital discharge data for South Carolina childbirths from 2018 to 2021. Multilevel logistic regressions examined differences in cesarean outcomes by rural/urban hospital location and race/ethnicity of birthing people dur

SUBMITTER: Odahowski CL 

PROVIDER: S-EPMC11632908 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature