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Trends in Cesarean Delivery Rate after Cessation of the One-Child Policy in China
| Content Provider | Scilit |
|---|---|
| Author | Liu, Xiaohua Huang, Ding Landon, Mark B. Cheng, Weiwei Chen, Yan |
| Copyright Year | 2020 |
| Description | Objective We aimed to describe changes in cesarean delivery (CD) rates after the change of the one-child policy in China by using the Robson classification in a large Chinese population. Study Design This retrospective cohort study included 91,015 women who delivered at ≥24 weeks of gestation at a large tertiary obstetric center in Shanghai, China from 2011 to 2016. We analyzed CD rate trend and CD contribution trend in each Robson group. Logistic regression was used to calculate the odds of CD while adjusting for confounding variables. Results The overall CD rate decreased from 49.0% in 2011 to 40.6% in 2016. In nulliparous women with singleton cephalic term pregnancy and planned CD, the CD contribution rate was reduced significantly from 29.3% in 2011 to 16.4% in 2016 (p < 0.001). In multiparous with a scarred uterus, the CD contribution rate began to increase from 3.8% in 2011 to 9.1% in 2016 (p < 0.001). Compared with delivery in 2011, delivery in 2016 was associated with a 37% (adjusted odds ratio [aOR]: 0.63; 95% confidence interval [CI]: 0.60–0.66) reduction in CD. This reduction was observed in both nulliparous women with singleton cephalic term pregnancy (aOR: 0.57; 95% CI: 0.54–0.60), and multiparous women with singleton cephalic term pregnancy without scar (aOR: 0.41; 95% CI: 0.30–0.55). Conclusion The rate of cesarean delivery in our Chinese population has declined significantly in the past few years. This study was approved by the ethics review board of IPMCHH, Shanghai Jiaotong University (ref. no.: 20160219).$ ^{*}$ These authors contributed equally to this work. Received: 28 November 2019 Accepted: 28 January 2020 Article published online: 20 March 2020 © 2020. Thieme. All rights reserved. Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USA |
| Related Links | http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0040-1705176.pdf |
| Ending Page | e91 |
| Page Count | 8 |
| Starting Page | e84 |
| ISSN | 07351631 |
| e-ISSN | 10988785 |
| DOI | 10.1055/s-0040-1705176 |
| Journal | American Journal of Perinatology |
| Issue Number | S 01 |
| Volume Number | 38 |
| Language | English |
| Publisher | Georg Thieme Verlag KG |
| Publisher Date | 2020-03-20 |
| Access Restriction | Open |
| Subject Keyword | Journal: American Journal of Perinatology Obstetrics and Gynecology Cesarean Delivery Robson Classification One-child Policy |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pediatrics, Perinatology and Child Health Obstetrics and Gynecology |
