Table 3.
Frequency and odds of cesarean delivery by maternal race and ethnicity in multiparous (prior vaginal deliveries only) cohort
| Non- Hispanic white |
Non-Hispanic black | Asian | Hispanic | |||||||
|---|---|---|---|---|---|---|---|---|---|---|
|
| ||||||||||
| N (%, 95%CI) |
N (%, 95%CI) |
Unadjusted OR (95%CI) |
aOR* (95% CI) |
N (%, 95%CI) |
Unadjusted OR (95%CI) |
aOR* (95% CI) |
N (%, 95%CI) |
Unadjusted OR (95%CI) |
aOR* (95% CI) |
|
| Cesarean delivery (vs. vaginal delivery)† | 873 (4.9, 4.6–5.2) | 712 (8.4, 7.9–9.0) | 1.78 (1.61–1.97) | 1.51 (1.33–1.70) | 105 (5.8, 4.8–6.9) | 1.20 (0.97–1.48) | 1.00 (0.80–1.25) | 718 (6.0, 5.6–6.5) | 1.24 (1.12–1.37) | 1.12 (0.98–1.27) |
|
| ||||||||||
| Indication (vs. vaginal delivery)‡ | ||||||||||
| Non-reassuring fetal status | 210 (1.2, 1.0–1.3) | 361 (4.3, 3.9–4.7) | 3.75 (3.16–4.46) | 3.12 (2.54–3.84) | 27 (1.5, 0.9–2.1) | 1.28 (0.85–1.92) | 1.24 (0.81–1.90) | 282 (2.4, 2.1–2.6) | 2.02 (1.69–2.42) | 1.48 (1.18–1.85) |
| Labor dystocia or failed induction | 233 (1.3, 1.2–1.5) | 210 (2.5, 2.2–2.8) | 1.97 (1.63–2.38) | 1.77 (1.42–2.21) | 30 (1.7, 1.1–2.3) | 1.28 (0.87–1.88) | 1.38 (0.91–2.08) | 232 (2.0, 1.7–2.2) | 1.50 (1.25–1.80) | 1.44 (1.14–1.82) |
| Suspected macrosomia | 100 (0.6, 0.5–0.7) | 34 (0.4, 0.3–0.5) | 0.74 (0.50–1.10) | 0.51 (0.32–0.80) | 6 (0.3, 0.1–0.6) | 0.60 (0.26–1.36) | 0.33 (0.14–0.78) | 72 (0.6, 0.5–0.7) | 1.09 (0.80–1.47) | 1.06 (0.72–1.56) |
| Elective | 167 (0.9, 0.8–1.1) | 31 (0.4, 0.2–0.5) | 0.41 (0.28–0.60) | 0.43 (0.28–0.66) | 21 (1.2, 0.7–1.7) | 1.25 0.79–1.98) | 0.76 (0.47–1.26) | 46 (0.4, 0.3–0.5) | 0.42 (0.30–0.58) | 0.51 (0.34–0.75) |
| Other | 163 (0.9, 0.8–1.1) | 74 (0.9, 0.7–1.1) | 0.99 (0.75–1.31) | 0.82 (0.60–1.14) | 20 (1.1, 0.6–1.6) | 1.22 (0.77–1.95) | 0.84 (0.51–1.40) | 86 (0.7, 0.6–0.9) | 0.80 (0.61–1.03) | 0.86 (0.62–1.20) |
Multivariable logistic regression (cesarean delivery) and multivariable multinomial logistic regression (indication). Compared with non-Hispanic white women. Adjusted for age, BMI, diabetes, smoking, chorioamnionitis, gestational hypertension or preeclampsia, gestational age at delivery, and hospital.
n=39,871; n=38,831 with complete covariable data.
n=39,871; n=38,828 with complete covariable data.