Geisel School of Medicine at Dartmouth Reports Findings in Health and Medicine (Health system factors and caesarean sections in Kosovo: a cross-sectional study)

2019 APR 25 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Current study results on Health and Medicine have been published. According to news reporting originating from Hanover, New Hampshire, by NewsRx correspondents, research stated, “To investigate the association of caesarean section rates with the health system characteristics in the public hospitals of Kosovo. Cross-sectional survey. Five largest public hospitals in Kosovo. 859 women with low-risk deliveries who delivered from April to May 2015 in five public hospitals in Kosovo.”

Financial support for this research came from Solidar Suisse Kosovo.

Our news editors obtained a quote from the research from the Geisel School of Medicine at Dartmouth, “The prespecified outcomes were the crude and adjusted OR of births delivered with caesarean section by health system characteristics such as delivery by the physician who provided antenatal care, health insurance status and other. Additional prespecified outcomes were caesarean section rates and crude ORs for delivery with caesarean in each public hospital. Women with personal monthly income had increased odds for caesarean (OR 1.55, 95% CI 1.06 to 2.27), as did women with private health insurance coverage (OR 3.44, 95% CI 1.20 to 9.85). Women instructed by a midwife on preparation for delivery had decreasing odds (OR 0.32, 95% CI 0.19 to 0.51) while women having preference for a caesarean had increasing odds for delivery with caesarean (OR 3.84, 95% CI 1.96 to 7.51). The odds for caesarean increased also in the case of delivery by a physician who provided antenatal care (OR 2.06, 95% CI 1.16 to 3.67) and delivery during office hours (OR 2.36, 95% CI 1.37 to 4.05), while delivery at the University Clinical Centre of Kosovo decreased the odds for caesarean (OR 0.46, 95% CI 0.24 to 0.90). We found that several health system characteristics are associated with the increase of caesarean sections in a low-risk population of delivering women in public hospitals of Kosovo. These findings should be explored further and addressed via policy measures that would tackle provision of unnecessary caesareans.”

According to the news editors, the research concluded: “The study findings could assist Kosovo to develop corrective policies in addressing overuse of caesareans and may provide useful information for other middle-income countries.”

For more information on this research see: Health system factors and caesarean sections in Kosovo: a cross-sectional study. BMJ Open, 2019;9(4):e026702. (BMJ Publishing Group - http://group.bmj.com/; BMJ Open - http://bmjopen.bmj.com/)

The news editors report that additional information may be obtained by contacting I. Hoxha, Dept. of Community and Family Medicine, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, United States. Additional authors for this research include A. Fejza, M. Aliu, P. Juni and D.C Goodman.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1136/bmjopen-2018-026702. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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