NDLI: A descriptive analysis of the indications for caesarean section in mainland China

Content Provider	Springer Nature : BioMed Central
Author	Liu, Yajun Li, Guanghui Chen, Yi Wang, Xin Ruan, Yan Zou, Liying Zhang, Weiyuan
Abstract	Background In recent decades we have observed a remarkable increase in the rate of caesarean section (CS) in both developed and developing countries, especially in China. However, the real reasons for this phenomenon are uncertain. Notably, the number of women requesting elective CS without accepted valid medical indication has also increased, generating a nationwide debate because several studies have shown that this may be the underlying cause of the increase in CS rates observed recently. Therefore, we carried out a multicentre, large-sample, cross-sectional study to describe the CS rate and indications for CS in mainland China during 2011. Methods This was a multicentre, large-sample, cross-sectional study of women who delivered infants in 39 hospitals in 14 provinces in China during 2011. We selected 111, 315 deliveries that occurred during 2011, excluding miscarriages or termination of pregnancy before 28 gestational weeks. Results The overall rate of CS in mainland China was 54.90%. The most common indication for CS was caesarean delivery on maternal request (CDMR; 28.43%), followed by cephalo-pelvic disproportion (14.08%), fetal distress (12.46%), previous CS (10.25%), malpresentation and breech presentation (6.56%), macrosomia (6.10%) and other indications (22.12%). CDMR accounted for 15.53% of all the deliveries and 28.43% of all CS deliveries in mainland China. Conclusions CDMR appears to be a considerable driver behind the increasing CS rate in mainland China. The relaxation of China’s “one-child policy” may translate into a greater number of CS because of previous CS delivery. To decrease the CS rate, we should first decrease the rate of CS on maternal request. Appropriate policies and guidelines should be considered to accomplish the goal.
Related Links	https://bmcpregnancychildbirth.biomedcentral.com/counter/pdf/10.1186/s12884-014-0410-2.pdf
Ending Page	9
Page Count	9
Starting Page	1
File Format	HTM / HTML
ISSN	14712393
DOI	10.1186/s12884-014-0410-2
Journal	BMC Pregnancy and Childbirth
Issue Number	1
Volume Number	14
Language	English
Publisher	BioMed Central
Publisher Date	2014-12-12
Access Restriction	Open
Subject Keyword	Reproductive Medicine Maternal and Child Health Gynecology Caesarean section rate Caesarean section on maternal request Indications for caesarean section Mainland Chinese population
Content Type	Text
Resource Type	Article
Subject	Obstetrics and Gynecology
Journal Impact Factor	2.8/2023
5-Year Journal Impact Factor	3.4/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

A descriptive analysis of the indications for caesarean section in mainland China

Reasons for performing a caesarean section in public hospitals in rural Bangladesh

Cesarean delivery on maternal request and its influencing factors in Chongqing, China

Caesarean delivery on maternal request: the perspective of the postpartum women

Variation of caesarean section rates in Palestinian governmental hospitals

Fear of childbirth and elective caesarean section: a population-based study

Variation in hospital caesarean section rates for women with at least one previous caesarean section: a population based cohort study

Epidemiology and trends for Caesarean section births in New South Wales, Australia: A population-based study

Using a Caesarean Section Classification System based on characteristics of the population as a way of monitoring obstetric practice

A descriptive analysis of the indications for caesarean section in mainland China

Similar Documents

A descriptive analysis of the indications for caesarean section in mainland China

Reasons for performing a caesarean section in public hospitals in rural Bangladesh

Cesarean delivery on maternal request and its influencing factors in Chongqing, China

Caesarean delivery on maternal request: the perspective of the postpartum women

Variation of caesarean section rates in Palestinian governmental hospitals

Fear of childbirth and elective caesarean section: a population-based study

Variation in hospital caesarean section rates for women with at least one previous caesarean section: a population based cohort study

Epidemiology and trends for Caesarean section births in New South Wales, Australia: A population-based study

Using a Caesarean Section Classification System based on characteristics of the population as a way of monitoring obstetric practice

A descriptive analysis of the indications for caesarean section in mainland China