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Trends in cesarean delivery rates in primipara and the associated factors.


ABSTRACT: BACKGROUND:Few studies have focused on cesarean delivery (CD) trends among primipara under the one-child and the two-child policies. This study aimed to explore the trends in CD rates among primipara during 1995-2019 and the associated factors with CD risk. METHODS:This study obtained clinical data on primiparous mothers and newborns from 1995 to 2019 at a large tertiary hospital in Wuhan, China. Trends in CD rates were calculated using the joinpoint regression analysis. The Chi-square tests and log-binomial regression analyses were used to evaluate the associations between primary variables and CD risk. RESULTS:CD rates showed a significant upward trend with an average annual percentage change (APC) of 2.2% (95% CI: 0.6, 3.8%) during the study period. In 1995-2006, the CD rates continued to increase with an APC of 7.8% (95% CI: 4.8, 10.9%). After 2006, the CD rates started to decline by an APC of -?4.1% (95% CI: -?5.5, -?2.6%). The CD rates non-significantly increased from 36.2% in 2016 to 43.2% in 2019. Moreover, the highest CD rate during 2015-2019 was observed on August 30 (59.2%) and the lowest on September 1 (29.7%). Primipara of older age and those with >3pregnancies had higher risks of CD. Furthermore, primipara who gave birth to newborns with low birth weight and macrosomia had higher risks of CD. CONCLUSIONS:Maternal and fetal as well as social and cultural factors may contribute to the rising trend of CD rates. Effective measures should be taken to control CD under the two-child policy, especially for primipara.

SUBMITTER: Sun G 

PROVIDER: S-EPMC7684937 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature

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Trends in cesarean delivery rates in primipara and the associated factors.

Sun Guoqiang G   Lin Ying Y   Lu Honglian H   He Wenjing W   Li Ruyan R   Yang Lijun L   Liu Xian X   Wang Hongyan H   Yang Xuewen X   Cheng Yao Y  

BMC pregnancy and childbirth 20201123 1


<h4>Background</h4>Few studies have focused on cesarean delivery (CD) trends among primipara under the one-child and the two-child policies. This study aimed to explore the trends in CD rates among primipara during 1995-2019 and the associated factors with CD risk.<h4>Methods</h4>This study obtained clinical data on primiparous mothers and newborns from 1995 to 2019 at a large tertiary hospital in Wuhan, China. Trends in CD rates were calculated using the joinpoint regression analysis. The Chi-s  ...[more]

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