Low-Risk Cesarean Delivery Rates by County of Birth in the United States.

IF 4.7 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Obstetrics and gynecology Pub Date : 2025-08-07 DOI:10.1097/aog.0000000000006028

Rachael J Beer,Michelle J K Osterman,Lauren M Rossen

引用次数: 0

Abstract

Healthy People 2030 aims to decrease low-risk cesarean delivery rates to 23.6% in the United States. In 2023, the national rate was 26.6%, though rates vary widely by state and hospital. This suggests a need for localized geographic estimates to identify places with higher burden. We modeled 2023 low-risk cesarean delivery rates by county of birth using birth certificate data and hierarchical Bayesian models that spatially smooth unstable estimates. We found considerable variation in rates, with county rates ranging from 5.8% to 53.4%. Counties in the West had lower rates than those in the Midwest, South, and Northeast. County rates increased with urbanicity. Only 47.7% (985) of counties had rates meeting the Healthy People 2030 target.

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美国各出生县的低风险剖宫产率。

“健康人群2030”的目标是将美国低风险剖宫产率降至23.6%。2023年，全国的这一比例为26.6%，不过各州和医院的这一比例差异很大。这表明需要进行局部地理估计，以确定负担较高的地方。我们使用出生证明数据和分层贝叶斯模型对2023年低风险剖宫产率进行了建模，该模型在空间上平滑了不稳定的估计。我们发现各县的发病率差异很大，从5.8%到53.4%不等。西部的县比中西部、南部和东北部的县的比率要低。郡县的比率随着城市化而上升。只有47.7%（985个）的县达到了2030年健康人口目标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obstetrics and gynecology 医学-妇产科学

CiteScore

11.10

自引率

4.20%

发文量

867

审稿时长

1 months

期刊介绍： "Obstetrics & Gynecology," affectionately known as "The Green Journal," is the official publication of the American College of Obstetricians and Gynecologists (ACOG). Since its inception in 1953, the journal has been dedicated to advancing the clinical practice of obstetrics and gynecology, as well as related fields. The journal's mission is to promote excellence in these areas by publishing a diverse range of articles that cover translational and clinical topics. "Obstetrics & Gynecology" provides a platform for the dissemination of evidence-based research, clinical guidelines, and expert opinions that are essential for the continuous improvement of women's health care. The journal's content is designed to inform and educate obstetricians, gynecologists, and other healthcare professionals, ensuring that they stay abreast of the latest developments and best practices in their field.