Table 5.

Indications for Cesarean Delivery in the Zuni-Ramah and Nationwide US Populations

IndicationNumber of cesarean deliveries, Zuni-Ramah% of cesarean deliveries% of total births, Zuni-Ramah*% of total births, nationwide29Relative 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
    Dystocia2428.92.18.870.24 (0.16–0.36)
    Breech2226.61.92.950.44 (0.66–1.00)
    Fetal distress1214. (0.28–0.86)
    Elective repeat67.20.54.660.11 (0.05–0.25)
    Other1922.91.73.390.50 (0.32–0.77)
Total831007.3022.030.27 (0.33–0.41)
Primary cesarean deliveries†
    Dystocia1932.81.818.120.22 (0.14–0.35)
    Breech1831.01.722.940.59 (0.37–0.93)
    Fetal distress813.80.772.020.38 (0.19–0.76)
    Other1322.41.242.720.46 (0.27–0.79)
Total581005.5515.80.35 (0.27–0.45)