title: Adolescent caesarean delivery in the US military health care system.
abstract: OBJECTIVE
  Determine cesarean delivery (CD) rates and associated demographics among military dependent teenagers.
  
  
  METHODS
  United States military health care claims records of live births from 2003-2006 to 13- through 19-year-old dependent children were analyzed using logistic regression.
  
  
  RESULTS
  The CD rate rose from 17% in 2003 to 20% in 2006. Rates were significantly higher for ages 18 and 19, for African American sponsors' children, and those who gave birth in a civilian facility. Rates did not differ significantly by sponsor's military rank.
  
  
  CONCLUSIONS
  Teenagers in the military health care system have increasing rates of CD. Independent demographic risk factors for teenage CD include age > 17 years, sponsor's race African American, and delivery at a civilian facility.
authors.affiliation: Family Health Clinic, Lajes Air Base, Azores, Portugal. david.klein@lajes.af.mil
authors.forename: David A
authors.initials: DA
authors.lastname: Klein
authors.forename: Ginny
authors.initials: G
authors.lastname: Gildengorin
authors.forename: Peter
authors.initials: P
authors.lastname: Mosher
authors.forename: William P
authors.initials: WP
authors.lastname: Adelman
mesh_terms: D000293:Adolescent; D002585:Cesarean Section / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D016015:Logistic Models; D008889:Military Personnel; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000208:ethnology / Q000706:statistics & numerical data*; D012307:Risk Factors; D014481:United States; D055815:Young Adult