Variation in rates of caesarean section among English NHS trusts after accounting for maternal and clinical risk: cross sectional study.

ABSTRACT:

Objective

To determine whether the variation in unadjusted rates of caesarean section derived from routine data in NHS trusts in England can be explained by maternal characteristics and clinical risk factors.

Design

A cross sectional analysis using routinely collected hospital episode statistics was performed. A multiple logistic regression model was used to estimate the likelihood of women having a caesarean section given their maternal characteristics (age, ethnicity, parity, and socioeconomic deprivation) and clinical risk factors (previous caesarean section, breech presentation, and fetal distress). Adjusted rates of caesarean section for each NHS trust were produced from this model.

Setting

146 English NHS trusts. Population Women aged between 15 and 44 years wit

SUBMITTER: Bragg F 

PROVIDER: S-EPMC2950923 | biostudies-literature | 2010 Oct

REPOSITORIES: biostudies-literature