Research Article

Factors Associated with the Recent Increasing Cesarean Delivery Rate at a Japanese Perinatal Center

Table 1

Demographic and obstetric characteristics in singleton pregnancies delivered at ≥22-week gestation.

Year20022003200420052006200720082009201020112012Total
N 1733174719121873187319031960195719871817175220514
Nulliparity929 (53.6)953 (54.6)1002 (52.4)934 (47.9)933 (49.8)960 (50.4)959 (48.9)973 (49.7)990 (49.8)877 (48.3)893 (51.0)10403 (50.7)
Maternal age ≥ 35 years349 (20.1)353 (20.2)492 (25.7)501 (26.7)562 (30.0)*553 (29.1)*682 (34.8)*686 (35.1)*731 (36.8)*676 (37.2)*624 (35.0)*6209 (30.3)
Pregnancy-induced hypertension90 (5.2)94 (5.4)99 (5.2)106 (5.7)106 (5.7)92 (4.8)91 (4.6)105 (5.4)95 (4.8)91 (5.0)115 (6.6)1084 (5.3)
Previous Cesarean deliveries147 (8.5)151 (8.6)154 (8.1)195 (10.4)152 (8.1)178 (9.4)197 (10.1)206 (10.5)224 (11.3)210 (11.6)190 (10.8)2213 (0.9)
Breech presentation42 (2.4)44 (2.5)46 (2.4)47 (2.5)46 (2.5)44 (2.3)45 (2.3)38 (1.9)38 (1.9)36 (2.0)37 (2.1)463 (2.3)
Preterm delivery162 (93)141 (8.1)181 (9.5)199 (10.6)165 (8.8)164 (8.6)172 (8.8)170 (8.7)193 (9.7)177 (9.7)181 (10.3)1905 (9.3)
Neonatal birth weight < 2500 g226 (13.0)239 (13.7)285 (14.9)288 (15.4)271 (14.5)236 (12.4)280 (14.3)256 (13.1)290 (14.6)271 (14.9)270 (15.4)2912 (14.2)
Neonatal birth weight ≥ 4000 g23 (1.3)27 (1.5)25 (1.3)20 (1.1)16 (0.9)20 (1.1)11 (0.6)11 (0.6)20 (1.0)15 (0.8)11 (0.6)199 (1.0)

Data are presented as numbers (percentage).
P < 0.05 versus 2002.