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Trends in Cesarean Delivery in Puerto Rico, 2018-2022
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01/10/2024
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Description:Cesarean delivery is major surgery associated with higher costs and adverse outcomes, such as surgical complications, compared with vaginal delivery (1–3). The cesarean delivery rate in Puerto Rico rose from just over 30% in the early to mid-1990s to over 40% by the early 2000s (4,5). During this time, cesarean delivery rates in Puerto Rico were 40%–70% higher than rates in the U.S. mainland and up to 78% higher than rates for Hispanic women in the U.S. mainland (4,5). This report describes trends in Puerto Rico’s cesarean delivery rate from 2010 to 2022 and explores changes by maternal age, gestational age, and municipality from 2018 to 2022.
Key findings: Data from the National Vital Statistics System
● The cesarean delivery rate in Puerto Rico ranged from 46.3% to 48.4% from 2010 to 2018, then increased each year from 2019 to 2022, rising to 50.5% of all births in 2022.
● From 2018 to 2022, cesarean delivery rates increased for each age group younger than 40, with the largest increase among mothers younger than age 20 (from 37.0% to 42.3%).
● Cesarean delivery rates increased for births delivered late preterm, early term, and full term from 2018 to 2022.
● Cesarean delivery rates increased in three of the six largest municipalities from 2018 to 2022.
Suggested citation: Osterman MJK, Juiz Gallego MM. Trends in cesarean delivery in Puerto Rico, 2018–2022. NCHS Data Brief, no 486. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: https://dx.doi.org/10.15620/cdc:134515.
CS345440
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