JiscMail Logo
Email discussion lists for the UK Education and Research communities

Help for RADSTATS Archives


RADSTATS Archives

RADSTATS Archives


RADSTATS@JISCMAIL.AC.UK


View:

Message:

[

First

|

Previous

|

Next

|

Last

]

By Topic:

[

First

|

Previous

|

Next

|

Last

]

By Author:

[

First

|

Previous

|

Next

|

Last

]

Font:

Proportional Font

LISTSERV Archives

LISTSERV Archives

RADSTATS Home

RADSTATS Home

RADSTATS  2005

RADSTATS 2005

Options

Subscribe or Unsubscribe

Subscribe or Unsubscribe

Log In

Log In

Get Password

Get Password

Subject:

Re: Maternity statistics for England published to day

From:

Ray Thomas <[log in to unmask]>

Reply-To:

Ray Thomas <[log in to unmask]>

Date:

Wed, 27 Apr 2005 14:06:44 +0100

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (98 lines)

Alison Macfarlane said earlier (11 April) that  the usefulness of the debate
has - that started with concern about the growth of Caesarians - was
severely limited because others with knowledge of the subject have not had
time to contribute to the debate .

But it appears that very little is known by experts or others on the
relationship between Caesarians and age of mother.

With Alison's guidance the only table I have been able to find relates to
1995, and the breakdown with age of mother is limited to three bands - less
than 25, 25-34, and 34 plus.   These statistics show that Caesarians do rise
with age.  For primoparous women (I think this means first births) the
elective Caesarian rates are given as 4%, 5% and 11% for those three age
bands.  For emergency Caesarians for the rates are given as 9%, 14%, and 21%
respectively.

These dated statistics and limited age breakdown do not support much in the
way of knowledge of the part currently played by age of mother in
Caesarians.   But it seems obvious to me the steadily increasing age of
first births must have been a major influence on the rise in the overall
Caesarian rate.

Have I missed something?

Ray Thomas
35 Passmore, Tinkers Bridge, Milton Keynes MK6 3DY
Email: [log in to unmask]
Tel/Fax 01908 679081
******************************

----- Original Message -----
From: Macfarlane, Alison
To: [log in to unmask]
Sent: Tuesday, April 05, 2005 9:53 AM
Subject: Re: Maternity statistics for England published to day


Age specific rates have been increasing, as can be seen each time they are
published, unfortunately not often enough. There was a major court case in
the late 1970s which is thought to have enhaced the fear of litigation.

Alison
-----Original Message-----
From: Ray Thomas [mailto:[log in to unmask]]
Sent: 04 April 2005 23:46
To: [log in to unmask]
Subject: Re: Maternity statistics for England published to day


Fear of litigation can hardly have been the major influence on  in the
period up to about 1977 when instrumental deliveries were increasing faster
than caesarians.   Surely the increasing age of mothers must have been the
major influence on operative rates in this period?

If age was an important influence in the 60s  and 70s is it not reasonable
to expect that it would still be an important  influence.   And if age is an
important influence why are statistics not published with an age breakdown?

It surely cannot be that ethnicity of mothers is recorded but not age?

Ray Thomas
*********************************
With regard to the effect that fear of litigation may influence the rise in
Caesarean deliveries, I noted a comment by Christine Hogg in Health Matters
39 Winter 1999/2000.

"Experience in the US shows that litigation affects clinical practice. It
leads to defensive medicine (that is, over treatment). In this country, the
continuing rise in Caesareans - in spite of evidence of the dangers and
national policy - is attributed to defensive medicine, although it may be
used as an excuse by a profession that prefers intervention to waiting."

The article was about the less desirable consequences of introducing
'choice' into medical care.

Janet Shapiro

****************************************************** Please note that if
you press the 'Reply' button your message will go only to the sender of this
message. If you want to reply to the whole list, use your mailer's
'Reply-to-All' button to send your message automatically to
[log in to unmask]
*******************************************************
****************************************************** Please note that if
you press the 'Reply' button your message will go only to the sender of this
message. If you want to reply to the whole list, use your mailer's
'Reply-to-All' button to send your message automatically to
[log in to unmask]
*******************************************************

******************************************************
Please note that if you press the 'Reply' button your
message will go only to the sender of this message.
If you want to reply to the whole list, use your mailer's
'Reply-to-All' button to send your message automatically
to [log in to unmask]
*******************************************************

Top of Message | Previous Page | Permalink

JiscMail Tools


RSS Feeds and Sharing


Advanced Options


Archives

March 2024
February 2024
January 2024
December 2023
November 2023
October 2023
September 2023
August 2023
July 2023
June 2023
May 2023
April 2023
March 2023
February 2023
January 2023
December 2022
November 2022
October 2022
September 2022
August 2022
July 2022
June 2022
May 2022
April 2022
March 2022
February 2022
January 2022
December 2021
November 2021
October 2021
September 2021
August 2021
July 2021
June 2021
May 2021
April 2021
March 2021
February 2021
January 2021
December 2020
November 2020
October 2020
September 2020
August 2020
July 2020
June 2020
May 2020
April 2020
March 2020
February 2020
January 2020
December 2019
November 2019
October 2019
September 2019
August 2019
July 2019
June 2019
May 2019
April 2019
March 2019
February 2019
January 2019
December 2018
November 2018
October 2018
September 2018
August 2018
July 2018
June 2018
May 2018
April 2018
March 2018
February 2018
January 2018
December 2017
November 2017
October 2017
September 2017
August 2017
July 2017
June 2017
May 2017
April 2017
March 2017
February 2017
January 2017
December 2016
November 2016
October 2016
September 2016
August 2016
July 2016
June 2016
May 2016
April 2016
March 2016
February 2016
January 2016
December 2015
November 2015
October 2015
September 2015
August 2015
July 2015
June 2015
May 2015
April 2015
March 2015
February 2015
January 2015
December 2014
November 2014
October 2014
September 2014
August 2014
July 2014
June 2014
May 2014
April 2014
March 2014
February 2014
January 2014
December 2013
November 2013
October 2013
September 2013
August 2013
July 2013
June 2013
May 2013
April 2013
March 2013
February 2013
January 2013
December 2012
November 2012
October 2012
September 2012
August 2012
July 2012
June 2012
May 2012
April 2012
March 2012
February 2012
January 2012
December 2011
November 2011
October 2011
September 2011
August 2011
July 2011
June 2011
May 2011
April 2011
March 2011
February 2011
January 2011
December 2010
November 2010
October 2010
September 2010
August 2010
July 2010
June 2010
May 2010
April 2010
March 2010
February 2010
January 2010
December 2009
November 2009
October 2009
September 2009
August 2009
July 2009
June 2009
May 2009
April 2009
March 2009
February 2009
January 2009
December 2008
November 2008
October 2008
September 2008
August 2008
July 2008
June 2008
May 2008
April 2008
March 2008
February 2008
January 2008
December 2007
November 2007
October 2007
September 2007
August 2007
July 2007
June 2007
May 2007
April 2007
March 2007
February 2007
January 2007
2006
2005
2004
2003
2002
2001
2000
1999
1998


JiscMail is a Jisc service.

View our service policies at https://www.jiscmail.ac.uk/policyandsecurity/ and Jisc's privacy policy at https://www.jisc.ac.uk/website/privacy-notice

For help and support help@jisc.ac.uk

Secured by F-Secure Anti-Virus CataList Email List Search Powered by the LISTSERV Email List Manager