Caesarean Delivery Rate Review: OHTAC Recommendation
Ontario Health Technology Advisory Committee (OHTAC)
Record ID 32015000480
English
Authors' recommendations:
Nine factors were significantly associated with either an increased or decreased likelihood of having a caesarean delivery, and 5 factors had no influence. Moderate-quality evidence supported the finding that in a low-risk population, an elective induction policy would significantly reduce the rate of caesarean deliveries compared with a policy of expectant management.
The provincial caesarean delivery rate for a very-low-risk population was 17.0%. However, rates varied among Ontario hospitals (4.5% to 35.5%) and were independent of PCMCH level-of-care classifications or birth volumes (based on data for 2011/2012).
An evaluation of an Ontario administrative database suggested that variation in caesarean delivery rates may be due to maternal age and/or obstetrical practice variation. There was no clinically or statistically significant variation in rates associated with neighbourhood income quintile, neighbourhood educational attainment, rural or urban status, or primary language
Details
Project Status:
Completed
Year Published:
2015
URL for published report:
http://www.hqontario.ca/Portals/0/Documents/eds/ohtas/recommendation-caesarean-delivery-rate-review-1503-en.pdf
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Canada
MeSH Terms
- Humans
- Female
- Cesarean Section
Contact
Organisation Name:
Health Quality Ontario
Contact Address:
Evidence Development and Standards, Health Quality Ontario, 130 Bloor Street West, 10th floor, Toronto, Ontario Canada M5S 1N5
Contact Name:
EDSinfo@hqontario.ca
Contact Email:
OH-HQO_hta-reg@ontariohealth.ca
Copyright:
Health Quality Ontario
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.