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Cesarean section delivery among primiparous women in rural China: an emerging epidemic

Klemetti, Reija, Che, Xuan, Gao, Yan, Raven, Joanna ORCID:, Wu, Zhuchan, Tang, Shenglan and Hemminki, Elina (2010) 'Cesarean section delivery among primiparous women in rural China: an emerging epidemic'. Journal Of Obstetrics And Gynaecology Research, Vol 202, Issue 1, 65e1-65e6.

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OBJECTIVE: The purpose of this study was to describe the trends
and determinants of cesarean section (CS) delivery rates in rural
STUDY DESIGN: Data on rural primiparous women aged 15-49 years
(n � 10,754) were obtained from 3 nationwide representative surveys
in 1993, 1998, and 2003. The CS rate per 100 births and odds ratios by
women’s background characteristics were calculated with the use of logistic
RESULTS: The CS rate increased from 1% in 1991 to 17% in 2002.
After age adjustment, CS was most common among more educated
women, who lived in Eastern China, who had high household income
and health insurance, who used antenatal care, and who gave birth at a
high-level hospital.
CONCLUSION: This development over the 10-year period may indicate
very high CS rates in the near future; the epidemic of the use of CS that
has been observed in urban China is likely to occur also in rural China.
Further studies on the reasons and consequences of such excessive
use of operative delivery are needed

Item Type: Article
Uncontrolled Keywords: cesarean section delivery rate, primiparous women, rural China, trend
Subjects: WA Public Health > WA 20.5 Research (General)
WA Public Health > Health Problems of Special Population Groups > WA 310 Maternal welfare
WQ Obstetrics > Obstetric Surgical Procedures > WQ 430 Cesarean section. Symphysiotomy and similar techniques
Digital Object Identifer (DOI):
Depositing User: Faye Moody
Date Deposited: 04 Apr 2012 14:45
Last Modified: 07 Jun 2022 11:09


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