State trends in medically unnecessary surgical births – UROP Spring Symposium 2021

State trends in medically unnecessary surgical births

Megan Corbe


Pronouns: she/her

Research Mentor(s): Melissa Zochowski, Research Program Manager
Research Mentor School/College/Department: Psychiatry and Learning Health Sciences, Michigan Medicine
Presentation Date: Thursday, April 22, 2021
Session: Session 6 (4pm-4:50pm)
Breakout Room: Room 14
Presenter: 6

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Recent studies in the United States have shown that over one third of birthing women have primary cesarean (C-section) sections to deliver their children. C-section surgeries pose risks to the mother and her child, carrying a longer, more involved recovery than a traditional, noninvasive vaginal delivery. In many cases, a birth is considered ?NTSV (?Nulliparous, Term, Singleton, Vertex?), or low-risk, and a c-section is given despite a lack of medical indication. The United States has one of the highest incidences of NTSV c-sections in the western hemisphere. We are interested in examining the non-clinical and social factors that may influence c-section rates and interventions among women with low-risk pregnancies that end in cesarean section, NTSV c-sections. To do this, we collected data from all fifty states’ previous studies and statistics on births, c-sections, health collaboratives, and demographics, and compiled it into a database to find statistical significance with each factor. When comparing the states, we found that the access to information differed greatly depending on the state being studied. With these findings, we hope to then go further to identify specific nonclinical factors, socioeconomic status, race, insurance, and other demographics that may influence c-section rates within each state. These conclusions will inform improvements to the healthcare system that can aid the reduction of NTSV c-sections in the United States.

Authors: Megan Corbe, Maria Williams, Melissa Zochowski
Research Method: Library/Archival/Internet Research

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