Skip to main content

Table 1 Cesarean delivery rates according to prenatal care utilization and household socioeconomic characteristics

From: Prenatal care and socioeconomic status: effect on cesarean delivery

 

Full sample (N = 102,236)

Low-risk subsample (N = 20,683)

 

Deliveries, %

Cesarean rate, %

Chi-square test

Deliveries, %

Cesarean rate, %

Chi-square test

Prenatal care

 First antenatal visit

(n = 100,672)

  

(n = 20,357)

  

  First trimester

98.5

23.9

3.7

98.7

11.4

7.3b

  Second trimester

1.2

23.0

 

1.0

14.7

 

  Third trimester

0.3

19.8

 

0.3

21.1

 

 Obstetric ultrasounds

(n = 94,686)

  

(n = 19,276)

  

  < 3

1.7

20.6

1000.0a

1.1

11.5

0.7

  = 3

68.3

20.8

 

76.1

11.4

 

  ≥ 4

30.0

30.4

 

22.8

11.9

 

 Nuchal translucency ultrasound

(n = 98,643)

  

(n = 19,972)

  

  Yes

97.1

23.9

12.5a

97.5

11.5

0.5

  No

2.9

21.1

 

2.5

12.5

 

 Morphology ultrasound

(n = 98,334)

  

(n = 19,885)

  

  Yes

98.9

24.0

28.2a

99.1

11.5

0.8

  No

1.1

17.0

 

0.9

9.3

 

 Early prenatal interview

(n = 88,690)

  

(n = 17,882)

  

  Yes

20.4

22.3

15.1a

27.9

10.6

2.6

  No

79.6

23.7

 

72.1

11.4

 

 Prenatal education

(n = 82,417)

  

(n = 17,159)

  

  Yes

54.9

21.9

99.1a

75.8

10.9

15.6a

  No

45.1

24.9

 

24.2

13.2

 

Woman’s socioeconomic level

 Familial situation

(n = 100,411)

  

(n = 20,328)

  

  Married or cohabiting

98.0

23.8

1.4

97.8

11.6

1.1

  Single

2.0

25.0

 

2.2

10.0

 

 Healthcare coverage

(n = 100,146)

  

(n = 20,253)

  

  Insured

98.5

23.9

1.3

98.5

11.6

0.8

  Uninsured

1.5

22.7

 

1.5

9.9

 

 Education

(n = 79,428)

  

(n = 16,080)

  

  Primary school

2.7

24.9

62.1a

1.3

16.2

45.4a

  Some secondary school

14.0

25.2

 

10.4

13.0

 

  Completed secondary school

21.9

25.4

 

21.8

13.3

 

  College or university

61.4

22.8

 

66.5

9.8

 

 Occupation

(n = 70,201)

  

(n = 14,818)

  

  Manual worker

1.4

26.7

45.6a

1.1

13.8

26.7a

  Office, sales, or service staff

55.2

24.9

 

57.8

12.0

 

  Farmer

0.3

24.4

 

0.3

18.2

 

  Crafts/trades worker or entrepreneur

2.9

25.5

 

2.8

11.4

 

  Intermediate (technical)

9.2

23.4

 

9.6

10.8

 

  Managerial or higher intellectual

31.0

22.7

 

28.4

9.1

 

 Work status

(n = 83,351)

  

(n = 16,838)

  

  Working

69.6

24.0

22.4a

75.8

10.9

2.2

  Unemployed

6.7

25.1

 

7.3

10.9

 

  Not in labor force

23.7

22.6

 

16.9

11.9

 

Partner’s socioeconomic level

 Occupation

(n = 78,712)

  

(n = 15,826)

  

  Manual worker

9.3

24.5

19.0a

8.2

11.7

17.4a

  Office, sales, or service staff

40.1

24.2

 

43.6

11.8

 

  Farmer

0.4

24.8

 

0.3

17.3

 

  Crafts/trades worker or entrepreneur

7.3

23.6

 

6.5

10.2

 

  Intermediate (technical)

6.2

23.2

 

6.6

8.5

 

  Manager or higher intellectual

36.7

22.8

 

34.8

10.2

 

 Work status

(n = 79,154)

  

(n = 16,148)

  

  Working

89.8

23.6

6.3b

89.8

10.9

2.2

  Unemployed

4.4

24.7

 

4.1

12.8

 

  Not in labor force

5.8

24.9

 

6.1

10.8

 
  1. The full sample is composed of all live deliveries performed in the hospitals of the French administrative district of Yvelines in 2008–2014. The low-risk subsample only includes those deliveries of nulliparous women aged 20–34 years, without any diagnosis or co-morbidity, giving birth at full term, during labor, without induction, to a singleton infant in cephalic presentation, and with a normal birth weight
  2. a = 1% significance level, b = 5%