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UK Wedding News

25/03/2013

Poorer Mothers 'More Likely' To Have Assisted Birth

A study of new mothers has found that those from less affluent households are more likely to have a planned Caesarean section.

When it came to social status, age and ethnicity, as well as taking in certain health factors, women of lower social classes were still at greater risk of needing a Caesarean, according to a report in the Daily Mail.

Researchers from the University of York looked at the 18,239 births in the UK between 2000 and 2002. Their findings revealed first-time mothers from less affluent backgrounds were one-and-a-half times more likely to have an assisted birth and more than twice as likely to have a planned C-section.

When it came to the age of expectant mothers, just 9.4% of first-time teenage mothers required an emergency C-section, compared to 30.3% of first-time mothers over the age of 35.

Speaking to the MailOnline, Holly Essex, a research fellow at the Department of Health Sciences, University of York, and lead author of the study, said: "The findings definitely counter the popular belief that women of higher social class are too posh to push.

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"We found that first-time mothers in lower social class bands were more likely to have an instrumental vaginal birth and a planned Caesarean section, which counters other studies showing women in more deprived areas are less likely to have planned Caesarean section births.

"We now need more research into why this is. It may be that these women behave differently when they are pregnant, or that health professionals behave differently towards them. Either way, our results - which are the first UK-wide study - show that socio-demographic characteristics of women in the UK can independently predict mode of birth."

The research also found that despite the proportion of C-sections increasing, there has been no decrease in the number of women who need instrumental assistance. At its highest level for almost 20 years, experts say this shows the increasing trend for women to have children at older ages, and to be more obese, which leads to more instrumental deliveries and Caesareans.

The new findings, published in BJOG: An International Journal of Obstetrics and Gynaecology, warn that Caesarean sections not only cost the NHS more, but mothers tend to have longer hospital stays and poorer psychological wellbeing.

In women who already had children, educational level was found to be a more predictive mode of birth. Women educated to A-level standard were less likely to need a C-section than those with degree-level qualifications. Finally, the researchers found that mode of birth varied depending on a woman’s ethnicity.

In comparison to white women, black women having their second or subsequent child were less likely to have a forceps delivery and that Pakistani and Bangladeshi women were less likely to have a planned or emergency Caesarean section.

(JP)

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"A study of new mothers has found that those from less affluent households are more likely to have a planned Caesarean section."