MONDAY, Feb. 5, 2007 (HealthDay News) -- The teen pregnancy rate in the United States is at an all-time low, while the rate of Caesarean deliveries is at an all-time high.
At the same time, the birth rates for mothers aged 30 and older rose in 2005 to levels not seen in nearly 40 years.
These findings are part of the Annual Summary of Vital Statistics: 2005, published in the February issue of Pediatrics.
"These are the three most remarkable findings," said Brady Hamilton, lead author of the report and a statistician with the National Center for Health Statistics. "The rate of teen births fell to 40.4 births per 1,000 women aged 15 to 19. That's the lowest rate ever recorded in 65 years for which we have consistent data. It's quite impressive."
"The other noteworthy finding in 2005 was that 30.2 percent of all births were Caesarean delivery," Hamilton continued. "That's a 4 percent increase from 2004-05, which was also a record high."
A number of factors may explain the rise in the rate of Caesarean deliveries. "Vaginal births after Caesarean delivery are being discouraged, and the primary rate of Caesareans is rising, so, together, that is fueling this increase," said Fay Menacker, also a statistician at the National Center for Health Statistics. "The repeat Caesarean delivery rate was over 90 percent in 2004."
Part of the increase in the Caesarean delivery rate may be more older mothers, added Dr. Jennifer Wu, an obstetrician/gynecologist with Lenox Hill Hospital in New York City. "They may also have had assisted reproductive technology and may be having multiples."
The drop in teen births is also probably being driven by several forces.
"This shows, maybe, that we're educating the public better, providing better health care, better contraception, better contraceptive choices for teens," Wu said.
Hamilton added: "The best evidence suggests that this reflects a combination of factors, including programs promoting abstinence as well as those promoting safe sex."
The decline in teen births was concentrated among girls aged 15 to 17.
The data in the report comes from U.S. vital statistics records, birth certificates, fetal death reports and death certificates. Here are some of the report's other findings:
Other findings in the report:
More information
To read the full report, visit the National Center for Health Statistics.