Map of German Cesarean Rates Shows Regional Practice Variation


By Jill Arnold

An article on the German web site Aktion Meditech with the translated title of Large Regional Variations in Cesarean Section was published today. From the article:

The reasons for these regional variations subject especially in differing assessments of risk of obstetricians in the various regions. Other frequently cited reasons far as the increasing age of mothers or the explicit request of the parents had a caesarean played, but only a minor role. "In Germany there is no consistency in the decision on whether a caesarean is necessary or not," says Stefan Etgeton, health expert at the Bertelsmann Foundation. The problem concerns not only individual circuits: In parts of Rhineland-Palatinate, Bavaria and Lower Saxony lies the cesarean rate at times well above 40 percent in several areas in the former East Germany, however less than 20 percent. [Translated with Google Translate]

The author references two maps on this site. The first shows all cesarean sections by county in Germany performed in 2010. The rate are age-adjusted.

Translated caption:

The map shows the percentage of live births by caesarean section in 2010. While in some regions, only about 17% of the children were born by caesarean section (about one in six), there were elsewhere more than half (51%). The data refer to the city region of mothers. Differences in the age structure of the mothers were offset by calculation.

To view planned cesarean sections, go to and click on the light purple tab which reads "Geplante Kaiserschnitte 2010."