Living26 percent of deliveries in Spain are by cesarean...

26 percent of deliveries in Spain are by cesarean section, double that recommended by the WHO

The World Health Organization (WHO) recommends that the rate of cesarean sections does not exceed 10-15% and that they be performed only in cases that are medically necessary . However, the INE has released the delivery data for 2018, the year in which 26 percent of cesarean sections were performed in Spain . Of the total of 372,777 deliveries, 97,804 have been by cesarean section.

The autonomous communities with the highest rate of caesarean sections

The percentages of caesarean sections vary from one community to another with a difference of double between the few and the most caesarean sections.

The trend of previous years is repeated in terms of the community where more babies are born by cesarean section. It is the Valencian Community , where of all deliveries, 30.6% are cesarean sections .

It is followed by Extremadura (29.4%), the autonomous city of Melilla (28.7%), Catalonia (28.6%), Andalusia (27.6%), Castilla-La Mancha (27.4%) and Murcia (26.9%).

The municipalities with the most caesarean sections in Spain

The three municipalities that carried out the most interventions of this type was Castilleja de la Cuesta in Seville, Andalusia, which has an average of 46.8 percent. That is, of the total of 853 births in the municipality, 400 were by caesarean section; Plasencia follows with a percentage of 45.7, where of 695 deliveries, 318 were cesarean sections; and the third place is occupied by Sant Cugat Del Vallès with 37.3 percent, where of the 2,005 deliveries, 749 were cesarean sections.

Basque Country, the autonomous community with the lowest rate of cesarean sections

The Autonomous Community where the fewest cesarean sections are performed is the Basque Country with a percentage of 15.8% .

Below the national average, although above that recommended by the WHO, followed by Navarra (18.4%), Asturias (19.3%), the autonomous city of Ceuta (21.2%), the Canary Islands (21 , 9%), Aragon (22.2%), La Rioja (23.1%), Castilla y León (24.1%), Balearic Islands (24.2%), Cantabria (24.3%), Madrid ( 25.4%), Galicia (26.0%).

The municipalities with the least caesarean sections in Spain

The three municipalities that have the lowest percentage of caesarean sections, and that would be within the range of this practice recommended by the WHO, are: Barakaldo with 14.9 percent, in 2018 649 caesarean sections of the 4,338 were performed; Manacor follows with 14.8 percent, that is, 970 interventions within the 144 deliveries performed; and the one with the lowest percentage is Vitoria-Gasteiz with 12.5 percent, thus in the 2,406 deliveries, 302 cesarean sections were performed.

Hospitals that attended the most deliveries in 2018

Hospitals and health centers in the cities of Madrid, Barcelona, Seville and Valencia attended two out of every ten births that took place in 2018 (22.4%), according to an EpData analysis of the 372,777 births that took place in 2018 and which the INE collects in its birth survey published this week.

Specifically, in the city of Madrid 32,192 deliveries were attended, 8.6% of the total in Spain; in Barcelona there were 22,927 deliveries (6.1%); in Seville 14,937 (4%) and in Valencia, 13,216 (3.5%).

The high number of births attended in these cities has to do with their population, but also with the tendency to attend births in the largest hospitals in provincial capitals.

Thus, half of all deliveries in 2018 (51.2%) took place in a municipality other than the place of residence of the mother. This percentage is even higher in provincial capitals surrounded by rural areas, where women have to travel to give birth.

Thus, for example, in Toledo, the percentage of births to mothers who arrived from other locations to give birth is close to 80% of all deliveries attended .

In general, the majority of mothers who travel to other localities to give birth come from nearby municipalities, and in any case within the community itself. Thus, the percentage of births attended by mothers residing in another community does not exceed 6% in any case, with Madrid (5.8%) and La Rioja (5.6%) being the communities that received the most births from other autonomous regions.

Via | Statistics National Institute
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