Indications for Cesarean Delivery in the Zuni-Ramah and Nationwide US Populations
| Indication | Number of cesarean deliveries, Zuni-Ramah | % of cesarean deliveries | % of total births, Zuni-Ramah* | % of total births, nationwide29 | Relative risk of cesarean delivery for each indication (95% CI) |
|---|---|---|---|---|---|
| * All births including intrauterine fetal demise greater than 20 weeks, with multiple gestations counting as single delivery based on criteria of National Hospital Discharge Survey.29 | |||||
| † Total births for primary cesarean deliveries excludes women with a history of prior cesarean delivery. | |||||
| Total cesarean deliveries | |||||
| Dystocia | 24 | 28.9 | 2.1 | 8.87 | 0.24 (0.16–0.36) |
| Breech | 22 | 26.6 | 1.9 | 2.95 | 0.44 (0.66–1.00) |
| Fetal distress | 12 | 14.5 | 1.1 | 2.16 | 0.49 (0.28–0.86) |
| Elective repeat | 6 | 7.2 | 0.5 | 4.66 | 0.11 (0.05–0.25) |
| Other | 19 | 22.9 | 1.7 | 3.39 | 0.50 (0.32–0.77) |
| Total | 83 | 100 | 7.30 | 22.03 | 0.27 (0.33–0.41) |
| Primary cesarean deliveries† | |||||
| Dystocia | 19 | 32.8 | 1.81 | 8.12 | 0.22 (0.14–0.35) |
| Breech | 18 | 31.0 | 1.72 | 2.94 | 0.59 (0.37–0.93) |
| Fetal distress | 8 | 13.8 | 0.77 | 2.02 | 0.38 (0.19–0.76) |
| Other | 13 | 22.4 | 1.24 | 2.72 | 0.46 (0.27–0.79) |
| Total | 58 | 100 | 5.55 | 15.8 | 0.35 (0.27–0.45) |