Birth in NSW

A recent study published in BMJ Open has revealed startling findings about birth in NSW.  Between 1994 and 2004:

  • The proportion of women having a caesarean for their first baby has rose from 18% to 26%
  • Of the women labouring with their first baby, the proportion of women having a caesarean in labour increased from 13% to 19%
  • Of all the women who had a caesarean for their first baby, the proportion of women having an elective repeat caesarean (that is, a caesarean performed before the onset of labour) increased from 54% to 67% between 1994 and 2004
  • Of all the women who had a caesarean for their first baby, the proportion of women planning a VBAC declined from 46% to 33% between 1994 and 2004
  • And of all women planning a VBAC, the proportion of women having a successful VBAC declined from 61% to 48% in 2004.
  • Between 1994 and 1004, caesarean rates increased from 18% to 27%.

What factors are driving this?