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Dissecting the current caesarean section rate in Shanghai, China
Yanhong Ming1,2,3, Meng Li3,4, Fei Dai4
1Department of Obstetrics and Gynecology, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Scientific Reports
|February 16, 2019
Summary
High rates of caesarean sections (CS) persist in Shanghai. Prelabor CS in low-risk, first-time mothers significantly drives this trend, often without clear medical necessity.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Epidemiology
Background:
- High caesarean section (CS) rates are a global concern.
- Limited large-scale data exists for the Chinese population.
- Understanding CS drivers is crucial for public health interventions.
Purpose of the Study:
- To analyze the caesarean section rate in Shanghai.
- To identify the primary contributors to high CS rates using the Robson classification system.
Main Methods:
- A cross-sectional survey of 10,855 births in Shanghai hospitals (Jan-Jun 2016).
- Data extracted from medical records.
- Application of the Robson classification system to categorize CS births.
Main Results:
- The overall CS rate was 41.5%.
- Prelabor CS in nulliparous, term singleton vertex women was the largest contributor (37.4%) to total CS.
- Repeat CS in women with a prior CS was very high (96.6%).
Conclusions:
- Caesarean section rates remain high in Shanghai.
- Prelabor CS in low-risk, nulliparous women is a major driver of high CS rates.
- Addressing non-medically indicated CS in nulliparous women is essential.
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