Table 1

Characteristics of included studies

AuthorYearCountryStudy designNumber of casesNumber of hospital unitsYear of data collectionPopulationSamplingType of CS analysedNational CS rates*
Braveman et al1995USARetrospective cohort study213 761Unclear1991Primiparae; no previous CS; any riskConsecutiveAnyHigh
Naiditch et al1997FranceCross-sectional39 8809441991Primiparae and multiparae; no previous CS; any riskRandomBefore labourModerate
Gomes et al. A1999BrazilCross-sectional675081978–1979Primiparae and multiparae; with or without previous CS; any riskConsecutiveAnyVery high
Gomes et al. B1999BrazilCross-sectional2846101994Primiparae and multiparae; with or without previous CS; any riskConsecutiveAnyVery high
Gonzalez-Perez et al2001MexicoCross-sectional1 716 446Unclear1994–1997Primiparae and multiparae; with or without previous CS; any riskConsecutiveAnyHigh
Korst et al2005USACross-sectional443 5322881995Primiparae and multiparae; no previous CS; any riskConsecutiveDuring labourHigh
Mossialos et al.2005GreeceCross-sectional80532002Primiparae and multiparae; with or without previous CS; any riskConsecutiveAnyHigh
Carayol et al A2007FranceCross-sectional1479Unclear1972, 1995, 1998, 2003Primiparae and multiparae; no previous CS; high riskRandomBefore labourModerate
Carayol et al B2007FranceCross-sectional60801382001-2002Primiparae and multiparae; no previous CS; high riskRandomBefore labourModerate
Xirasagar and Lin2007TaiwanCross-sectional739 5319421997–2000Primiparae and multiparae; with or without previous CS; any riskConsecutiveBefore labour†High
Coonrod et al2008USACross-sectional28 863402005Primiparae; low riskConsecutiveAnyHigh
Coulm et al2012FranceCross-sectional95305352010Primiparae and multiparae; no previous CS; low riskConsecutiveAnyModerate
Huesch et al2014USACross-sectional408 3552542010Primiparae and multiparae; no previous CS; any riskConsecutiveBefore labourHigh
Raifman et al A2014BrazilCross sectional4918Not Reported1996Primi- and multiparae; with or without previous CS; any riskRandomAnyVery high
Raifman et al B2014BrazilCross sectional5768Not Reported2006Primi- and multiparae; with or without previous CS; any riskRandomAnyVery high
Schemann et al2015AustraliaCross sectional61 894812007-2011Multiparae; with previous CSConsecutiveAnyHigh
Sebastião et al2016USARetrospective cohort study412 1921222004-2011Primiparae; low riskConsecutiveDuring labourHigh
  • *National CS rates classified according to WHO data reported for 2008 into moderate (>15% to 20%), high (>20% to 40%) and very high (>40%).

  • †On maternal request.

  • CS, caesarean section.