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• There were 9,282 cesarean deliveries of live born babies in 1999, and 27,333 spontaneous vertex deliveries. Based on these data, the 1999 cesarean section rate was 222.38 per 1,000 live births, higher than 1995-1999 C-section rate of 207.86 (Appendix 3).

• The ratio presented in Table 10 is ratio of the number of C-section births in the area to the number that would be expected based on the provincial rate and the number of live births in the area. The seven Local Health Areas (LHAs) with cesarean ratios which were statistically significant and high in 1999 (with the number of cesarean deliveries in parentheses) were:

  027	Cariboo-Chilcotin	1.54	(122)
  011	Trail	1.45	(55)
  080	Kitimat	1.45	(46)
  028	Quesnel	1.44	(100)
  020	Salmon Arm	1.39	(75)
  022	Vernon	1.21	(145)
  036	Surrey	1.06	(1,132)

  Cariboo-Chilcotin, Kitimat and Salmon Arm were also among the five LHAs with the highest C-section rates per 1,000 live births for 1995-1999 (Appendix 3).

• The six LHAs with cesarean ratios which were statistically significant and low in 1999 (with the number of cesarean deliveries in parentheses) were:

  053	Upper Skeena	0.43	(7)
  002	Cranbrook	0.56	(31)
  006/007	Kootenay Lake/Nelson	0.61	(33)
  052	Prince Rupert	0.66	(32)
  043	Coquitlam	0.87	(419)
  041	Burnaby	0.87	(389)

  Upper Skeena, Cranbrook, and Kootenay Lake/Nelson were also among the five LHAs with the lowest C-section rates per 1,000 live births for 1995-1999 (Appendix 3).

• The 1999 provincial live birth rate was 10.36 live births per 1,000 population, which was lower than the five-year rate of 11.27 for the 1995-1999 period (Appendix 3.) The five LHAs with the highest live birth rates in 1999 (actual numbers in parentheses) were:

  049	Bella Coola Valley	16.86	(59)
  083	Central Coast	15.17	(31)
  054	Smithers	14.97	(281)
  060	Peace River North	14.35	(441)
  081	Fort Nelson	14.26	(94)

  All of the above LHAs, with the exception of Central Coast, were also among the five LHAs with the highest live birth rates for the five-year period 1995-1999 (Appendix 3).

• The five LHAs with the lowest live birth rates in 1999 (actual numbers in parentheses) were:

  045	West Vancouver-Bowen Is.	6.24	(308)
  063	Saanich	6.45	(389)
  064	Gulf Islands	6.45	(94)
  069	Qualicum	6.60	(264)
  017	Princeton	6.88	(36)

  All of the above, except Princeton, were among the five LHAs with the lowest live birth rates for 1995-1999 (Appendix 3).

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