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Changes in the cesarean section rate in Korea (1982-2012) and a review of the associated factors.

Chung SH, Seol HJ, Choi YS, Oh SY, Kim A, Bae CW - J. Korean Med. Sci. (2014)

Bottom Line: 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.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, Kyung Hee University School of Medicine, Seoul, Korea.

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.

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Related in: MedlinePlus

Mean age of the women at the birth of the first child in 2009 (12). (Modified using the OECD report by updating the Korean data). The mean age was higher in Korea (29.9 yr) compared to that in OECD countries (27.8 yr) in 2009.
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Figure 1: Mean age of the women at the birth of the first child in 2009 (12). (Modified using the OECD report by updating the Korean data). The mean age was higher in Korea (29.9 yr) compared to that in OECD countries (27.8 yr) in 2009.

Mentions: Fig. 1 shows the mean childbearing age at the birth of the first child in OECD countries in 2009. The mean childbearing age is 29.9 yr in Korea, which ranks fourth from the highest, 27.8 for OECD countries, and 25.0 in the United States. The United Kingdom ranks first with a mean age of 30.0 (12).


Changes in the cesarean section rate in Korea (1982-2012) and a review of the associated factors.

Chung SH, Seol HJ, Choi YS, Oh SY, Kim A, Bae CW - J. Korean Med. Sci. (2014)

Mean age of the women at the birth of the first child in 2009 (12). (Modified using the OECD report by updating the Korean data). The mean age was higher in Korea (29.9 yr) compared to that in OECD countries (27.8 yr) in 2009.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4214933&req=5

Figure 1: Mean age of the women at the birth of the first child in 2009 (12). (Modified using the OECD report by updating the Korean data). The mean age was higher in Korea (29.9 yr) compared to that in OECD countries (27.8 yr) in 2009.
Mentions: Fig. 1 shows the mean childbearing age at the birth of the first child in OECD countries in 2009. The mean childbearing age is 29.9 yr in Korea, which ranks fourth from the highest, 27.8 for OECD countries, and 25.0 in the United States. The United Kingdom ranks first with a mean age of 30.0 (12).

Bottom Line: 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.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, Kyung Hee University School of Medicine, Seoul, Korea.

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.

Show MeSH
Related in: MedlinePlus