Publication
Differences on risk of cesarean section after labour induction according different portuguese hospitals
| dc.contributor.author | Teixeira, Cristina | |
| dc.contributor.author | Rodrigues, Teresa | |
| dc.contributor.author | Correia, Sofia | |
| dc.contributor.author | Barros, Henrique | |
| dc.date.accessioned | 2011-06-15T18:37:22Z | |
| dc.date.available | 2011-06-15T18:37:22Z | |
| dc.date.issued | 2010 | |
| dc.description.abstract | To assess if the risk of caesarean section (CS) after labour induction (LI) differs between hospitals and which extent this association may explain differences in CS rates. Methods: Participants (6688 Portuguese women) were consecutively recruited in five public hospitals (level III) during the assembling of a birth-cohort. Personal interviews were used to obtain data on socio-demographic characteristics, gynecological history and obstetric events. The risk (computed as odds ratio (OR) and 95% confidence Interval (95%CI)) of CS were considered according to hospital and adjusted for socio-demographic and obstetric characteristics. An interaction term (hospital and LI) was considered in the final model. Results: The proportion of LI by hospital ranged from 15.8% to 53.5% (p<0.001) and the proportion of CS varied between 22.2% and 35.6% (p<0.001). Women with LI presented an higher adjusted rate of CS (OR=1.71; 95%CI:1.48-1.99). There was a statistically significant interaction between hospital and IL on the risk of CS (p=0.002). After stratification by hospital and adjustment to characteristics of mother, the risk of CS for women with LI in comparison with those without LI was higher for three hospitals (OR=3.15; 95%CI:1.98-5.04, OR=1.84; 95% CI:1.38-2.46 and OR=2.04; 95%CI:1.52-2.73) but no such effect was found in the remaining two. Conclusions: Different associations between LI and CS across hospitals probably result from different management of LI. These differences may partially explain discrepancies in CS rates across hospitals. | por |
| dc.description.sponsorship | Instituto de Saúde pública da Universidade do Porto, Serviço de Higiene e Epidemiologia da Faculdade de Medicina da Universidade do Porto, Ministério da Saúde - associação Regional de ´saúde do Norte | por |
| dc.identifier.citation | Teixeira, C.; Rodrigues, Teresa; Correia, Sofia; Barros, Henrique; (2010). Differences on Risk of Cesarean Section after Labour Induction According Different Portuguese Hospitals. In XXXIV Congresso AIE - EuroEPI e Epidemiologia & Prevenzione. ISSN 1120-9763. 34:5-6, p.167 | por |
| dc.identifier.issn | 1120-9763 | |
| dc.identifier.uri | http://hdl.handle.net/10198/5210 | |
| dc.language.iso | eng | por |
| dc.peerreviewed | yes | por |
| dc.publisher | Epidemiologia & Prevenzione | por |
| dc.relation | Geração XXI | por |
| dc.relation.publisherversion | http://www.epidemiologiaeprevenzione.it/cms/?q=node/4 | por |
| dc.subject | Cesarean section | por |
| dc.subject | Induction of labour | por |
| dc.subject | Outcome of labour induction according different hospitals | por |
| dc.title | Differences on risk of cesarean section after labour induction according different portuguese hospitals | por |
| dc.type | conference object | |
| dspace.entity.type | Publication | |
| oaire.citation.conferencePlace | Florence - Italy | por |
| oaire.citation.endPage | 167 | por |
| oaire.citation.startPage | 167 | por |
| oaire.citation.title | EuroEPI 2010 | por |
| person.familyName | Teixeira | |
| person.givenName | Cristina | |
| person.identifier.ciencia-id | 6E12-F2A0-568F | |
| person.identifier.orcid | 0000-0001-5194-5141 | |
| person.identifier.rid | O-2296-2013 | |
| person.identifier.scopus-author-id | 55207402700 | |
| rcaap.rights | openAccess | por |
| rcaap.type | conferenceObject | por |
| relation.isAuthorOfPublication | 9037c83c-43c1-4714-ad3e-9f307dd1d89f | |
| relation.isAuthorOfPublication.latestForDiscovery | 9037c83c-43c1-4714-ad3e-9f307dd1d89f |