Julien O. Teitler, Columbia University
Kayuet Liu, University of California, Los Angeles
Rayven Plaza, Columbia University
Angela Clague, University of California, Los Angeles
Peter S. Bearman, Columbia University
Nancy Reichman , Robert Wood Johnson Medical School
C-section and induced deliveries increased by 44 and 150%, respectively, in the US from 1990-2012. C-sections can save lives but confer risks and are at historic highs. Little is known about trends in elective (non-medically indicated) interventions, particularly inductions that lead to C-sections. Using recent Joint Commission guidelines, we document trends in elective C-sections that did not follow inductions, elective inductions that did not lead to C-sections, and C-sections that followed elective inductions in two populous states. We document trends in each delivery method overall and by demographic attributes of mothers (race/ethnicity, age, education, nativity, health insurance status, marital status), and then further stratify by week of gestational age. Preliminary results from NJ show that elective deliveries increased three-fold over a recent 15-year period, with larger increases for higher-SES groups. Notably, 1/3 of induced deliveries were delivered by C-section in 1997, while the rate doubled to 2/3 in 2011.
Presented in Session 210. Flash Session: Recent Trends in Fertility and Contraception in the United States