Document Detail

Cesarean delivery in Shantou, China: a retrospective analysis of 1922 women.
MedLine Citation:
PMID:  11251484     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: In China the cesarean section rate increased significantly during the past four decades. This study examined the frequency and indications of cesarean birth in Shantou, a southern city in China. METHODS: An analysis was conducted of the medical records of 1922 women who had cesarean deliveries at Shantou City 2nd People's Hospital between January 1990 and December 1997. The medical records of 10,490 women who gave birth during this period were examined. RESULTS: The average rate of cesarean delivery during the 8-year period was 19.4 +/- 2.3 percent (means +/- standard error). From 1990 to 1997 the cesarean delivery rates ranged from 11.05 to 29.9 percent, respectively, although during this period the total annual number of deliveries decreased significantly from 1683 to 951. The rates of the most common indications per 100 women for cesarean delivery were failure to progress (23%), premature rupture of membranes (20%), fetal distress (19.4%), breech presentation (18.1%), uterine scar (14.6%), and prolonged pregnancy (11.3%). CONCLUSION: The cesarean delivery rate in Shantou, China, has increased steadily and significantly between 1990 and 1997, despite a decrease in the total number of births during the same period. This study showed that on an individual basis vaginal delivery was often possible and reduction of the cesarean delivery rate could be achieved safely by paying greater heed to appropriate indications.
W L Wu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Birth (Berkeley, Calif.)     Volume:  27     ISSN:  0730-7659     ISO Abbreviation:  Birth     Publication Date:  2000 Jun 
Date Detail:
Created Date:  2001-03-19     Completed Date:  2001-05-31     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  8302042     Medline TA:  Birth     Country:  United States    
Other Details:
Languages:  eng     Pagination:  86-90     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Shantou City 2nd People's Hospital, Guangdong Province, PR China.
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MeSH Terms
Breech Presentation
Cesarean Section / statistics & numerical data*,  trends
China / epidemiology
Dystocia / epidemiology,  surgery
Fetal Distress / epidemiology,  surgery
Fetal Membranes, Premature Rupture / epidemiology,  surgery
Hemorrhage / epidemiology,  surgery
Obstetric Labor Complications / epidemiology,  surgery*
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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