Cesarean section delivery Maternal and neonatal health outcomes Breastfeeding practices Cesarean Section, Asphyxia Neonatorum, Infant Mortality, Breast Feeding
Conditions
Interventions
This study includes a single cohort of all live-born infants delivered during the defined study period. Infants are subsequently classified according to mode of delivery into cesarean section and vagi
Health Services Research
Birth Cohort During Study Period
Sponsors
Mead Johnson Nutrition Company
Eligibility
Sex/Gender
Female
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Mother infant dyads with documented delivery records in the Ministry of Public Health Health Data Center (HDC) 2. Deliveries occurring in public hospitals in Thailand with clearly recorded mode of delivery and linkable maternal infant identifiers.
Exclusion criteria
Exclusion criteria: 1) Deliveries from private or non HDC reporting facilities 2) Records with unclear delivery mode. 3) Records with missing or non linkable maternal or infant data, or outside the predefined study period.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cesarean Section (C/S) Rate At delivery Mode of delivery (cesarean/vaginal); report prevalence (%),Maternal outcomes 0 to 42 days postpartum, summarized in 12-month Maternal mortality (alive/death), postpartum complications (yes/no); report prevalence (%) for each specified maternal outcome,Neonatal Health Outcomes Birth to 28 days of life Birth asphyxia, neonatal infection, and low birth weight; report binary (yes/no) and incidence for each outcome | — |
Secondary
| Measure | Time frame |
|---|---|
| Early-life healthcare Utilization Birth to 28 days of life, summarized in 12-month Counts of OPD visits, ER visits, and hospital admissions; report counts,Medication used in infancy (0 to 28 days): Birth to 28 days of life, summarized in 12-month Medication exposure by pre-specifying ATC-based classes (antibiotics, allergy-associated medications, and GI medications); report any use (yes/no) and counts per class,Breastfeeding outcomes Point prevalence at Day 7, Day 28, Months 6 and 12 (using the nearest routine visit); duration through 12 months Breastfeeding status (exclusive breastfeeding, mixed feeding, and no breastfeeding); report point prevalence (n, %) ,Temporal and geographic trends in cesarean delivery rates 2015 to 2025 Trends in cesarean section rates across regions, hospital levels, and time periods using national health administrative data | — |
Countries
Thailand
Contacts
Public ContactKrit Pongpirul
Center of Excellence in Preventive and Integrative Medicine, Faculty of Medicine, Chulalongkorn University
Outcome results
None listed