The low rate of Cesarean delivery in Native American women may be attributed to practices common to the Indian Health Service.
The low rate of Cesarean cesarean /ce·sar·e·an/ (se-zar´e-an) see under section.
ce·sar·e·an or cae·sar·e·an or cae·sar·i·an or ce·sar·i·an
Of or relating to a cesarean section. delivery in Native American women This is a list of famous Native Americans. This is a list of Native American women. Please note that it should contain only Native women of the United States and her territories, not First Nations women or Native women of other countries in North, Central, and South America. may be attributed to practices common to the Indian Health Service The Indian Health Service (IHS) is an Operating Division (OPDIV) within the U.S. Department of Health and Human Services responsible for providing federal health services to American Indians and Alaska Natives. . A study examined the rate of Cesarean delivery among Native American women giving birth from 1996-1999 at an urban Indian Health Service facility, and found the rate to be 9.6%, which is well below the national average of 21.2% (in 1998). The Cesarean rate was lower even though many study participants had more risk factors for a Cesarean than the general population, such as higher rates of diabetes and pregnancy-induced hypertension pregnancy-induced hypertension A term that encompasses isolated–nonproteinuric HTN, pre-eclampsia or proteinuric HTN, eclampsia; PIH occurs in 5-15% of pregnancies, and is a major cause of obstetric and perinatal M&M Management Low-dose aspirin . This appears to be due to medical and practice-related factors. Nurse-midwives attended the vast majority (82%) of labors at this facility during this time; nationally, in 2002, only 8% of births were attended by nurse midwives. In addition, Indian Health Service centers have been found to have fewer unnecessary inductions of labor than other mainstream facilities.
Birth, September 2005