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Dissecting the current caesarean section rate in Shanghai, China

The high caesarean section (CS) rate has been of great public concern around the world. Yet, large-scale studies of dissecting such a high CS rate are few in the Chinese population. We carried out a cross-sectional survey randomly selecting 10,855 births from 20 hospitals in Shanghai from January to...

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Autores principales: Ming, Yanhong, Li, Meng, Dai, Fei, Huang, Rong, Zhang, Jinwen, Zhang, Lin, Qin, Ming, Zhu, Liping, Yu, Hongping, Zhang, Jun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376037/
https://www.ncbi.nlm.nih.gov/pubmed/30765758
http://dx.doi.org/10.1038/s41598-019-38606-7
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author Ming, Yanhong
Li, Meng
Dai, Fei
Huang, Rong
Zhang, Jinwen
Zhang, Lin
Qin, Ming
Zhu, Liping
Yu, Hongping
Zhang, Jun
author_facet Ming, Yanhong
Li, Meng
Dai, Fei
Huang, Rong
Zhang, Jinwen
Zhang, Lin
Qin, Ming
Zhu, Liping
Yu, Hongping
Zhang, Jun
author_sort Ming, Yanhong
collection PubMed
description The high caesarean section (CS) rate has been of great public concern around the world. Yet, large-scale studies of dissecting such a high CS rate are few in the Chinese population. We carried out a cross-sectional survey randomly selecting 10,855 births from 20 hospitals in Shanghai from January to June, 2016. Labor and delivery information was extracted from medical records. The Robson classification system for CS was used to classify all women into ten groups. The overall CS rate was 41.5%. Prelabor CS in nulliparous, term singleton vertex women was the predominant contributor (37.4%) to the total CS and accounted for the second highest proportion of total births (15.5%) in all hospital types. The vast majority of women with a previous CS had a repeat CS (96.6%). CS rate was still high in Shanghai. Nulliparous women in low risk and having CS before labour, often without any medical indication, was a major contributor to the high CS rate.
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spelling pubmed-63760372019-02-19 Dissecting the current caesarean section rate in Shanghai, China Ming, Yanhong Li, Meng Dai, Fei Huang, Rong Zhang, Jinwen Zhang, Lin Qin, Ming Zhu, Liping Yu, Hongping Zhang, Jun Sci Rep Article The high caesarean section (CS) rate has been of great public concern around the world. Yet, large-scale studies of dissecting such a high CS rate are few in the Chinese population. We carried out a cross-sectional survey randomly selecting 10,855 births from 20 hospitals in Shanghai from January to June, 2016. Labor and delivery information was extracted from medical records. The Robson classification system for CS was used to classify all women into ten groups. The overall CS rate was 41.5%. Prelabor CS in nulliparous, term singleton vertex women was the predominant contributor (37.4%) to the total CS and accounted for the second highest proportion of total births (15.5%) in all hospital types. The vast majority of women with a previous CS had a repeat CS (96.6%). CS rate was still high in Shanghai. Nulliparous women in low risk and having CS before labour, often without any medical indication, was a major contributor to the high CS rate. Nature Publishing Group UK 2019-02-14 /pmc/articles/PMC6376037/ /pubmed/30765758 http://dx.doi.org/10.1038/s41598-019-38606-7 Text en © The Author(s) 2019 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Ming, Yanhong
Li, Meng
Dai, Fei
Huang, Rong
Zhang, Jinwen
Zhang, Lin
Qin, Ming
Zhu, Liping
Yu, Hongping
Zhang, Jun
Dissecting the current caesarean section rate in Shanghai, China
title Dissecting the current caesarean section rate in Shanghai, China
title_full Dissecting the current caesarean section rate in Shanghai, China
title_fullStr Dissecting the current caesarean section rate in Shanghai, China
title_full_unstemmed Dissecting the current caesarean section rate in Shanghai, China
title_short Dissecting the current caesarean section rate in Shanghai, China
title_sort dissecting the current caesarean section rate in shanghai, china
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376037/
https://www.ncbi.nlm.nih.gov/pubmed/30765758
http://dx.doi.org/10.1038/s41598-019-38606-7
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