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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%