Social determinants of the increasing caesarean section rate in Italy.

摘要: Aim. Consistent modifications of socio-economic factors may represent crucial non-clinical determinants for the rising rate caesarean section among primiparae. This increasing trend has been reported in many countries and its relationship with social is widely accepted, though poorly supported by published data. Methods. Population-based economic data were analyzed between two study periods 30 years apart (1971 vs 2001). Results. The number births dropped dramatically within period (about -40%). Italian women tend to delay childbearing (25.1 28.8 age at first delivery) pursue a career later marriage motherhood lead contraction members family. Older mothers are higher risk (treble over 40 age), especially those high position. Health expenditures increased significantly 1971 2001. A progressive reproductive expected next 50 Italy. Conclusion. Many involved choice most these not strictly medical. rapidly mounting legal claims indeed defensive practices. Given data, reduction seems unlikely be achieved present.