4 years ago

Lowering the High Rate of Caesarean Delivery in China: An Experience From Shanghai

Lynch, C.D., Cheng, W.W., Liu, X., Landon, M.B.
(BJOG. 2016;123:1620–1628) Cesarean delivery (CD) rates have been on the rise in several countries in the world, including China. The CD rate in China has increased from 18% to 50% over the past 20 years. In addition, a World Health Organization survey found that nearly 12% of CDs in China were performed without a medical indication, which was the highest such rate in the world. In response to this information, health care institutions in the country started promoting vaginal deliveries to address this problem. This current article summarizes a retrospective cohort study undertaken at one of the largest obstetric centers in Shanghai which evaluated the impact of this intervention on obstetric practice and trends of CD over time.
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