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Rising cesarean delivery rate in primiparous women in urban China: Evidence from three nationwide household health surveys

Tang, Shenglan, Li, X.Y. and Wu, Z. C. (2006) 'Rising cesarean delivery rate in primiparous women in urban China: Evidence from three nationwide household health surveys'. American Journal of Obstetrics and Gynecology, Vol 195, Issue 6, pp. 1527-1532.

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Abstract

Objective: To examine the trend in the rate of cesarean delivery in primiparous women and to analyse individual socioeconomic factors driving the escalation of cesarean delivery rates in urban China.
Study design: Data were drawn from three national household health surveys conducted in 1993, 1998, and 2003. This analysis was based on data from the primiparous women only.
Results: The cesarean delivery rate in urban cities of China rose from 18.2% in 1990 to 1992 to 39.5% in 1998 to 2002. The adjusted odds ratio for cesarean delivery associated with living in a large city, having university/colleague education, and having health insurance were respectively 2.39, 4.46, and 1.25 in 1998 to 2002.
Conclusion: The cesarean delivery rate in urban cities of China has been rising dramatically since 1990. Many nonmedical causes related to individual social and economic factors might have played an important role in such a rapid rise of cesarean delivery rates. (c) 2006 Mosby, Inc. All rights reserved.

Item Type: Article
Uncontrolled Keywords: cesarean delivery rate primiparous women socioeconomic status urban china section rates determinants insurance india
Subjects: WQ Obstetrics > Obstetric Surgical Procedures > WQ 430 Cesarean section. Symphysiotomy and similar techniques
Digital Object Identifer (DOI): https://doi.org/10.1016/j.ajog.2006.03.044
Depositing User: Ms Julia Martin
Date Deposited: 19 Jan 2011 10:14
Last Modified: 23 Feb 2018 09:20
URI: http://archive.lstmed.ac.uk/id/eprint/1607

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