Caesarean delivery before 39 weeks associated with selecting an auspicious time for birth in Taiwan

Kuei Hui Chu, Yu Hsiang Lee, Chen Jei Tai, Yu Hung Lin, Chiu Mieh Huang, Li Yin Chien

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: Caesarean delivery before 39 weeks of gestation increases the risk of morbidity among infants. Taiwan has one of the highest caesarean rates in the world, but little attention has been paid to this issue. This study aimed to describe the rate of caesarean delivery before 39 weeks gestation among women who did not have labour signs and had a non-emergency caesarean delivery in Taiwan and to examine whether the phenomenon was associated with the Chinese cultural practice of selecting an auspicious time for birth. Methods: We recruited women at 15-28 weeks of pregnancy at 5 hospitals in northern Taiwan and followed them at 4 or 5 weeks after delivery using structured questionnaires. This analysis included 150 primiparous mothers with a singleton pregnancy who had a non-emergency caesarean delivery without the presence of labour signs. Results: Ninety-three of these women (62.0%) had caesarean deliveries before 39 weeks of gestation. Logistic regression analysis showed that women who had selected an auspicious time for delivery (OR = 2.82, 95% CI: 1.15-6.95) and delivered in medical centres (OR = 5.26, 95% CI: 2.25-12.26) were more likely to deliver before 39 weeks of gestation. Conclusion: Non-emergency caesarean delivery before 39 weeks of gestation was common among the study women, and was related to the Chinese cultural practice of selecting an auspicious time for birth. Further studies are needed to examine the risks and benefits associated with timing of caesarean delivery in Taiwan in order to generate a consensus among obstetricians and give pregnant women appropriate information.

Original languageEnglish
Pages (from-to)e52-e56
JournalWomen and Birth
Volume28
Issue number3
DOIs
Publication statusPublished - Sep 1 2015

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Taiwan
Parturition
Pregnancy
Pregnant Women
Consensus
Logistic Models
Regression Analysis
Mothers
Morbidity

Keywords

  • Caesarean delivery
  • Childbirth
  • Culture
  • Gestational age
  • Obstetric deliveries

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Maternity and Midwifery

Cite this

Caesarean delivery before 39 weeks associated with selecting an auspicious time for birth in Taiwan. / Chu, Kuei Hui; Lee, Yu Hsiang; Tai, Chen Jei; Lin, Yu Hung; Huang, Chiu Mieh; Chien, Li Yin.

In: Women and Birth, Vol. 28, No. 3, 01.09.2015, p. e52-e56.

Research output: Contribution to journalArticle

Chu, Kuei Hui ; Lee, Yu Hsiang ; Tai, Chen Jei ; Lin, Yu Hung ; Huang, Chiu Mieh ; Chien, Li Yin. / Caesarean delivery before 39 weeks associated with selecting an auspicious time for birth in Taiwan. In: Women and Birth. 2015 ; Vol. 28, No. 3. pp. e52-e56.
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abstract = "Background: Caesarean delivery before 39 weeks of gestation increases the risk of morbidity among infants. Taiwan has one of the highest caesarean rates in the world, but little attention has been paid to this issue. This study aimed to describe the rate of caesarean delivery before 39 weeks gestation among women who did not have labour signs and had a non-emergency caesarean delivery in Taiwan and to examine whether the phenomenon was associated with the Chinese cultural practice of selecting an auspicious time for birth. Methods: We recruited women at 15-28 weeks of pregnancy at 5 hospitals in northern Taiwan and followed them at 4 or 5 weeks after delivery using structured questionnaires. This analysis included 150 primiparous mothers with a singleton pregnancy who had a non-emergency caesarean delivery without the presence of labour signs. Results: Ninety-three of these women (62.0{\%}) had caesarean deliveries before 39 weeks of gestation. Logistic regression analysis showed that women who had selected an auspicious time for delivery (OR = 2.82, 95{\%} CI: 1.15-6.95) and delivered in medical centres (OR = 5.26, 95{\%} CI: 2.25-12.26) were more likely to deliver before 39 weeks of gestation. Conclusion: Non-emergency caesarean delivery before 39 weeks of gestation was common among the study women, and was related to the Chinese cultural practice of selecting an auspicious time for birth. Further studies are needed to examine the risks and benefits associated with timing of caesarean delivery in Taiwan in order to generate a consensus among obstetricians and give pregnant women appropriate information.",
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N2 - Background: Caesarean delivery before 39 weeks of gestation increases the risk of morbidity among infants. Taiwan has one of the highest caesarean rates in the world, but little attention has been paid to this issue. This study aimed to describe the rate of caesarean delivery before 39 weeks gestation among women who did not have labour signs and had a non-emergency caesarean delivery in Taiwan and to examine whether the phenomenon was associated with the Chinese cultural practice of selecting an auspicious time for birth. Methods: We recruited women at 15-28 weeks of pregnancy at 5 hospitals in northern Taiwan and followed them at 4 or 5 weeks after delivery using structured questionnaires. This analysis included 150 primiparous mothers with a singleton pregnancy who had a non-emergency caesarean delivery without the presence of labour signs. Results: Ninety-three of these women (62.0%) had caesarean deliveries before 39 weeks of gestation. Logistic regression analysis showed that women who had selected an auspicious time for delivery (OR = 2.82, 95% CI: 1.15-6.95) and delivered in medical centres (OR = 5.26, 95% CI: 2.25-12.26) were more likely to deliver before 39 weeks of gestation. Conclusion: Non-emergency caesarean delivery before 39 weeks of gestation was common among the study women, and was related to the Chinese cultural practice of selecting an auspicious time for birth. Further studies are needed to examine the risks and benefits associated with timing of caesarean delivery in Taiwan in order to generate a consensus among obstetricians and give pregnant women appropriate information.

AB - Background: Caesarean delivery before 39 weeks of gestation increases the risk of morbidity among infants. Taiwan has one of the highest caesarean rates in the world, but little attention has been paid to this issue. This study aimed to describe the rate of caesarean delivery before 39 weeks gestation among women who did not have labour signs and had a non-emergency caesarean delivery in Taiwan and to examine whether the phenomenon was associated with the Chinese cultural practice of selecting an auspicious time for birth. Methods: We recruited women at 15-28 weeks of pregnancy at 5 hospitals in northern Taiwan and followed them at 4 or 5 weeks after delivery using structured questionnaires. This analysis included 150 primiparous mothers with a singleton pregnancy who had a non-emergency caesarean delivery without the presence of labour signs. Results: Ninety-three of these women (62.0%) had caesarean deliveries before 39 weeks of gestation. Logistic regression analysis showed that women who had selected an auspicious time for delivery (OR = 2.82, 95% CI: 1.15-6.95) and delivered in medical centres (OR = 5.26, 95% CI: 2.25-12.26) were more likely to deliver before 39 weeks of gestation. Conclusion: Non-emergency caesarean delivery before 39 weeks of gestation was common among the study women, and was related to the Chinese cultural practice of selecting an auspicious time for birth. Further studies are needed to examine the risks and benefits associated with timing of caesarean delivery in Taiwan in order to generate a consensus among obstetricians and give pregnant women appropriate information.

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