Rate of cesarean section and its influencing factors in Chongqing during 2010 and 2020

Objective To analyze the rate of cesarean section and its influencing factors in Chongqing from 2010 to 2020. Methods A comprehensive survey was adopted based on the Chongqing Obstetrics Quality Questionnaire and the data of birth medical certificate with medical and health institutions which provid...

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Autores principales:	CAO Yi, YANG Xiangling, WANG Zhenglin, ZHOU Xiaojun
Formato:	article
Lenguaje:	ZH
Publicado:	Editorial Office of Journal of Third Military Medical University 2021
Materias:	rate of cesarean influencing factor perinatal care cross-sectional investigation Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/fd7ce699f7264fc2bf1b9a2f375cafc0
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spelling	oai:doaj.org-article:fd7ce699f7264fc2bf1b9a2f375cafc02021-11-28T11:09:25ZRate of cesarean section and its influencing factors in Chongqing during 2010 and 202010.16016/j.1000-5404.2021051511000-5404https://doaj.org/article/fd7ce699f7264fc2bf1b9a2f375cafc02021-11-01T00:00:00Zhttp://aammt.tmmu.edu.cn/Upload/rhtml/202105151.htmhttps://doaj.org/toc/1000-5404Objective To analyze the rate of cesarean section and its influencing factors in Chongqing from 2010 to 2020. Methods A comprehensive survey was adopted based on the Chongqing Obstetrics Quality Questionnaire and the data of birth medical certificate with medical and health institutions which providing midwifery services as the research objects to investigate the current situation of maternal delivery mode selection in the period. Results In 2020, the cesarean section rate of the whole city was 47.59%, with a slight increase of 0.15% compared with that in 2019. The cesarean section rate of first delivery was 43.30%, with 2.29% higher than that in 2019. The proportion of cesarean section without medical indications was 13.20%, which was 19.03% higher than that in 2019. The cesarean section rate was 65.85% for women over 35 years old, which was much higher than that of women under 18 years old (25.91%) and women between 18 and 34 years old (45.61%). The cesarean section rate of private institutions was 51.83%, higher than that of primary institutions (31.69%), secondary institutions (46.11%), tertiary institutions (50.50%) and medical institutions in factories (44.75%). In 2020, the proportion of cesarean section with scarred uterus was the highest (45.57%), followed by elder women (9.73%), fetal distress (8.78%), pregnancy macrosomia (6.67%) and abnormal fetal position (6.43%). Conclusion Scar uterus, elderly women (age ≥35 years), severe complications during pregnancy, macrosomia, fetal distress occupy a large proportion in the indications of cesarean section, which seriously affects the decline of the cesarean section rate. The cesarean section rate, cesarean section rate of first delivery and proportion of cesarean section without medical indications are far higher in private institutions than those of other types of midwifery institutions.CAO YiYANG XianglingWANG Zhenglin ZHOU XiaojunEditorial Office of Journal of Third Military Medical Universityarticlerate of cesareaninfluencing factorperinatal carecross-sectional investigationMedicine (General)R5-920ZHDi-san junyi daxue xuebao, Vol 43, Iss 22, Pp 2495-2498 (2021)
institution	DOAJ
collection	DOAJ
language	ZH
topic	rate of cesarean influencing factor perinatal care cross-sectional investigation Medicine (General) R5-920
spellingShingle	rate of cesarean influencing factor perinatal care cross-sectional investigation Medicine (General) R5-920 CAO Yi YANG Xiangling WANG Zhenglin ZHOU Xiaojun Rate of cesarean section and its influencing factors in Chongqing during 2010 and 2020
description	Objective To analyze the rate of cesarean section and its influencing factors in Chongqing from 2010 to 2020. Methods A comprehensive survey was adopted based on the Chongqing Obstetrics Quality Questionnaire and the data of birth medical certificate with medical and health institutions which providing midwifery services as the research objects to investigate the current situation of maternal delivery mode selection in the period. Results In 2020, the cesarean section rate of the whole city was 47.59%, with a slight increase of 0.15% compared with that in 2019. The cesarean section rate of first delivery was 43.30%, with 2.29% higher than that in 2019. The proportion of cesarean section without medical indications was 13.20%, which was 19.03% higher than that in 2019. The cesarean section rate was 65.85% for women over 35 years old, which was much higher than that of women under 18 years old (25.91%) and women between 18 and 34 years old (45.61%). The cesarean section rate of private institutions was 51.83%, higher than that of primary institutions (31.69%), secondary institutions (46.11%), tertiary institutions (50.50%) and medical institutions in factories (44.75%). In 2020, the proportion of cesarean section with scarred uterus was the highest (45.57%), followed by elder women (9.73%), fetal distress (8.78%), pregnancy macrosomia (6.67%) and abnormal fetal position (6.43%). Conclusion Scar uterus, elderly women (age ≥35 years), severe complications during pregnancy, macrosomia, fetal distress occupy a large proportion in the indications of cesarean section, which seriously affects the decline of the cesarean section rate. The cesarean section rate, cesarean section rate of first delivery and proportion of cesarean section without medical indications are far higher in private institutions than those of other types of midwifery institutions.
format	article
author	CAO Yi YANG Xiangling WANG Zhenglin ZHOU Xiaojun
author_facet	CAO Yi YANG Xiangling WANG Zhenglin ZHOU Xiaojun
author_sort	CAO Yi
title	Rate of cesarean section and its influencing factors in Chongqing during 2010 and 2020
title_short	Rate of cesarean section and its influencing factors in Chongqing during 2010 and 2020
title_full	Rate of cesarean section and its influencing factors in Chongqing during 2010 and 2020
title_fullStr	Rate of cesarean section and its influencing factors in Chongqing during 2010 and 2020
title_full_unstemmed	Rate of cesarean section and its influencing factors in Chongqing during 2010 and 2020
title_sort	rate of cesarean section and its influencing factors in chongqing during 2010 and 2020
publisher	Editorial Office of Journal of Third Military Medical University
publishDate	2021
url	https://doaj.org/article/fd7ce699f7264fc2bf1b9a2f375cafc0
work_keys_str_mv	AT caoyi rateofcesareansectionanditsinfluencingfactorsinchongqingduring2010and2020 AT yangxiangling rateofcesareansectionanditsinfluencingfactorsinchongqingduring2010and2020 AT wangzhenglin rateofcesareansectionanditsinfluencingfactorsinchongqingduring2010and2020 AT zhouxiaojun rateofcesareansectionanditsinfluencingfactorsinchongqingduring2010and2020
_version_	1718408297292234752

Rate of cesarean section and its influencing factors in Chongqing during 2010 and 2020

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