Research Project
Grant-in-Aid for Research Activity Start-up
We examined nationwide CS statistics and evaluated the association with local resources for perinatal care. We used accumulated data for CS registered in the Japan National Database of health insurance claims in 2013 and calculated crude and age-standardized CS rates at national and prefectural levels. We analyzed the ecological associations with supply of obstetricians and institution and scale of obstetric facilities using multiple regression models. There were 190 361 cesarean deliveries in 2013, giving an overall CS rate of 18.5%, which varied by prefecture from 14.0% to 25.6%. In multiple regression analyses, the areal number of obstetricians (β = －0.58), the proportion of births at small-scale institutions (β = 0.36) and the number of beds at neonatal intensive care units per birth (β = －0.20) were significantly associated with the age-standardized elective CS rate . Higher elective CS rates might be associated with limited or unconsolidated medical resources.
All 2018 2017 2016 Other
All Int'l Joint Research (1 results) Journal Article (5 results) (of which Int'l Joint Research: 2 results, Peer Reviewed: 5 results, Open Access: 3 results, Acknowledgement Compliant: 4 results) Presentation (3 results) (of which Int'l Joint Research: 1 results) Book (1 results) Remarks (1 results)
Obstetrics and Gynecology Research
Volume: 44 Issue: 2 Pages: 208-216
10.1111/jog.13518
Dev Med Child Neurol
Volume: 59 Pages: 317-321
Hum Reprod
Volume: 31 Pages: 2051-2060
Hum Fertil
Volume: 19 Pages: 275-281
BMC Health Serv Res
Volume: 16 Pages: 602-602
https://myfamilychoice.jp/
