Lowering the high rate of caesarean delivery in China: an experience from Shanghai
Objective To examine the trends of caesarean delivery (CD) after an intervention to lower the high rate of CD at a Chinese maternity hospital. Design Retrospective cohort study. Setting A large tertiary obstetric centre in Shanghai, China, from 2007 to 2014. Sample 81 459 nulliparous women who deliv...
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Published in | BJOG : an international journal of obstetrics and gynaecology Vol. 123; no. 10; pp. 1620 - 1628 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
England
Wiley Subscription Services, Inc
01.09.2016
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Abstract | Objective
To examine the trends of caesarean delivery (CD) after an intervention to lower the high rate of CD at a Chinese maternity hospital.
Design
Retrospective cohort study.
Setting
A large tertiary obstetric centre in Shanghai, China, from 2007 to 2014.
Sample
81 459 nulliparous women who delivered a term singleton infant.
Methods
Logistic regression was used to calculate the odds of CD while adjusting for confounders.
Main outcome measure
Rate of CD before and after the intervention.
Results
The rate of CD decreased from 51.5% in 2008 to 36.1% in 2014, mostly due to a reduction in non‐indicated antepartum CD from 27.9% in 2010 to 11.9% in 2014. After adjustment, a period effect remained with delivery between 2011 and 2014 associated with a 31% reduction in the odds of CD compared with delivery between 2007 and 2010 [odds ratio (OR): 0.69, 95% CI: 0.66–0.71)] and a 33% reduction in the odds of antepartum CD (OR: 0.67, 95% CI: 0.64–0.69). The frequencies of perinatal mortality (0.5 versus 0.4/1000), hypoxic ischaemic encephalopathy (0.9 versus 1.2/1000), meconium aspiration syndrome (0.5/1000), birth trauma (0.6/1000), respiratory distress syndrome (0.5% versus 0.4%) and necrotising enterocolitis (0.9 versus 0.6/1000) were similar. The frequency of neonatal infection increased slightly (0.6% versus 0.8%), although this could be explained by other factors.
Conclusions
A marked reduction in CD has occurred at an urban tertiary care centre as a result of efforts to reduce the high rate of caesarean delivery. No notable differences in neonatal outcomes were observed.
Tweetable
High rates of caesarean delivery can be lowered without increases in neonatal morbidity and mortality.
Tweetable
High rates of caesarean delivery can be lowered without increases in neonatal morbidity and mortality. |
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AbstractList | Objective To examine the trends of caesarean delivery (CD) after an intervention to lower the high rate of CD at a Chinese maternity hospital. Design Retrospective cohort study. Setting A large tertiary obstetric centre in Shanghai, China, from 2007 to 2014. Sample 81 459 nulliparous women who delivered a term singleton infant. Methods Logistic regression was used to calculate the odds of CD while adjusting for confounders. Main outcome measure Rate of CD before and after the intervention. Results The rate of CD decreased from 51.5% in 2008 to 36.1% in 2014, mostly due to a reduction in non-indicated antepartum CD from 27.9% in 2010 to 11.9% in 2014. After adjustment, a period effect remained with delivery between 2011 and 2014 associated with a 31% reduction in the odds of CD compared with delivery between 2007 and 2010 [odds ratio (OR): 0.69, 95% CI: 0.66-0.71)] and a 33% reduction in the odds of antepartum CD (OR: 0.67, 95% CI: 0.64-0.69). The frequencies of perinatal mortality (0.5 versus 0.4/1000), hypoxic ischaemic encephalopathy (0.9 versus 1.2/1000), meconium aspiration syndrome (0.5/1000), birth trauma (0.6/1000), respiratory distress syndrome (0.5% versus 0.4%) and necrotising enterocolitis (0.9 versus 0.6/1000) were similar. The frequency of neonatal infection increased slightly (0.6% versus 0.8%), although this could be explained by other factors. Conclusions A marked reduction in CD has occurred at an urban tertiary care centre as a result of efforts to reduce the high rate of caesarean delivery. No notable differences in neonatal outcomes were observed. Tweetable abstract High rates of caesarean delivery can be lowered without increases in neonatal morbidity and mortality. Tweetable abstract High rates of caesarean delivery can be lowered without increases in neonatal morbidity and mortality. Objective To examine the trends of caesarean delivery ( CD ) after an intervention to lower the high rate of CD at a Chinese maternity hospital. Design Retrospective cohort study. Setting A large tertiary obstetric centre in Shanghai, China, from 2007 to 2014. Sample 81 459 nulliparous women who delivered a term singleton infant. Methods Logistic regression was used to calculate the odds of CD while adjusting for confounders. Main outcome measure Rate of CD before and after the intervention. Results The rate of CD decreased from 51.5% in 2008 to 36.1% in 2014, mostly due to a reduction in non‐indicated antepartum CD from 27.9% in 2010 to 11.9% in 2014. After adjustment, a period effect remained with delivery between 2011 and 2014 associated with a 31% reduction in the odds of CD compared with delivery between 2007 and 2010 [odds ratio ( OR ): 0.69, 95% CI : 0.66–0.71)] and a 33% reduction in the odds of antepartum CD ( OR : 0.67, 95% CI : 0.64–0.69). The frequencies of perinatal mortality (0.5 versus 0.4/1000), hypoxic ischaemic encephalopathy (0.9 versus 1.2/1000), meconium aspiration syndrome (0.5/1000), birth trauma (0.6/1000), respiratory distress syndrome (0.5% versus 0.4%) and necrotising enterocolitis (0.9 versus 0.6/1000) were similar. The frequency of neonatal infection increased slightly (0.6% versus 0.8%), although this could be explained by other factors. Conclusions A marked reduction in CD has occurred at an urban tertiary care centre as a result of efforts to reduce the high rate of caesarean delivery. No notable differences in neonatal outcomes were observed. Tweetable abstract High rates of caesarean delivery can be lowered without increases in neonatal morbidity and mortality. Tweetable abstract High rates of caesarean delivery can be lowered without increases in neonatal morbidity and mortality. OBJECTIVETo examine the trends of caesarean delivery (CD) after an intervention to lower the high rate of CD at a Chinese maternity hospital.DESIGNRetrospective cohort study.SETTINGA large tertiary obstetric centre in Shanghai, China, from 2007 to 2014.SAMPLE81 459 nulliparous women who delivered a term singleton infant.METHODSLogistic regression was used to calculate the odds of CD while adjusting for confounders.MAIN OUTCOME MEASURERate of CD before and after the intervention.RESULTSThe rate of CD decreased from 51.5% in 2008 to 36.1% in 2014, mostly due to a reduction in non-indicated antepartum CD from 27.9% in 2010 to 11.9% in 2014. After adjustment, a period effect remained with delivery between 2011 and 2014 associated with a 31% reduction in the odds of CD compared with delivery between 2007 and 2010 [odds ratio (OR): 0.69, 95% CI: 0.66-0.71)] and a 33% reduction in the odds of antepartum CD (OR: 0.67, 95% CI: 0.64-0.69). The frequencies of perinatal mortality (0.5 versus 0.4/1000), hypoxic ischaemic encephalopathy (0.9 versus 1.2/1000), meconium aspiration syndrome (0.5/1000), birth trauma (0.6/1000), respiratory distress syndrome (0.5% versus 0.4%) and necrotising enterocolitis (0.9 versus 0.6/1000) were similar. The frequency of neonatal infection increased slightly (0.6% versus 0.8%), although this could be explained by other factors.CONCLUSIONSA marked reduction in CD has occurred at an urban tertiary care centre as a result of efforts to reduce the high rate of caesarean delivery. No notable differences in neonatal outcomes were observed.TWEETABLE ABSTRACTHigh rates of caesarean delivery can be lowered without increases in neonatal morbidity and mortality. To examine the trends of caesarean delivery (CD) after an intervention to lower the high rate of CD at a Chinese maternity hospital. Retrospective cohort study. A large tertiary obstetric centre in Shanghai, China, from 2007 to 2014. 81 459 nulliparous women who delivered a term singleton infant. Logistic regression was used to calculate the odds of CD while adjusting for confounders. Rate of CD before and after the intervention. The rate of CD decreased from 51.5% in 2008 to 36.1% in 2014, mostly due to a reduction in non-indicated antepartum CD from 27.9% in 2010 to 11.9% in 2014. After adjustment, a period effect remained with delivery between 2011 and 2014 associated with a 31% reduction in the odds of CD compared with delivery between 2007 and 2010 [odds ratio (OR): 0.69, 95% CI: 0.66-0.71)] and a 33% reduction in the odds of antepartum CD (OR: 0.67, 95% CI: 0.64-0.69). The frequencies of perinatal mortality (0.5 versus 0.4/1000), hypoxic ischaemic encephalopathy (0.9 versus 1.2/1000), meconium aspiration syndrome (0.5/1000), birth trauma (0.6/1000), respiratory distress syndrome (0.5% versus 0.4%) and necrotising enterocolitis (0.9 versus 0.6/1000) were similar. The frequency of neonatal infection increased slightly (0.6% versus 0.8%), although this could be explained by other factors. A marked reduction in CD has occurred at an urban tertiary care centre as a result of efforts to reduce the high rate of caesarean delivery. No notable differences in neonatal outcomes were observed. High rates of caesarean delivery can be lowered without increases in neonatal morbidity and mortality. Objective To examine the trends of caesarean delivery (CD) after an intervention to lower the high rate of CD at a Chinese maternity hospital. Design Retrospective cohort study. Setting A large tertiary obstetric centre in Shanghai, China, from 2007 to 2014. Sample 81 459 nulliparous women who delivered a term singleton infant. Methods Logistic regression was used to calculate the odds of CD while adjusting for confounders. Main outcome measure Rate of CD before and after the intervention. Results The rate of CD decreased from 51.5% in 2008 to 36.1% in 2014, mostly due to a reduction in non‐indicated antepartum CD from 27.9% in 2010 to 11.9% in 2014. After adjustment, a period effect remained with delivery between 2011 and 2014 associated with a 31% reduction in the odds of CD compared with delivery between 2007 and 2010 [odds ratio (OR): 0.69, 95% CI: 0.66–0.71)] and a 33% reduction in the odds of antepartum CD (OR: 0.67, 95% CI: 0.64–0.69). The frequencies of perinatal mortality (0.5 versus 0.4/1000), hypoxic ischaemic encephalopathy (0.9 versus 1.2/1000), meconium aspiration syndrome (0.5/1000), birth trauma (0.6/1000), respiratory distress syndrome (0.5% versus 0.4%) and necrotising enterocolitis (0.9 versus 0.6/1000) were similar. The frequency of neonatal infection increased slightly (0.6% versus 0.8%), although this could be explained by other factors. Conclusions A marked reduction in CD has occurred at an urban tertiary care centre as a result of efforts to reduce the high rate of caesarean delivery. No notable differences in neonatal outcomes were observed. Tweetable High rates of caesarean delivery can be lowered without increases in neonatal morbidity and mortality. Tweetable High rates of caesarean delivery can be lowered without increases in neonatal morbidity and mortality. |
Author | Cheng, WW Liu, X Lynch, CD Landon, MB |
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Cites_doi | 10.1097/AOG.0b013e3182854b36 10.1016/S0140-6736(09)61870-5 10.2471/BLT.11.090399 10.1371/journal.pone.0041436 10.1186/s12978-015-0043-6 10.1016/j.ajog.2006.03.044 10.1111/j.1523-536X.2006.00118.x 10.1111/1471-0528.12971 10.1097/AOG.0b013e3182952242 10.1056/NEJMoa1407120 10.1542/peds.105.1.8 10.1067/mob.2003.389 10.1016/j.ajog.2010.06.058 10.2471/BLT.06.035808 10.1097/AOG.0b013e31816e349e 10.1371/journal.pone.0043906 10.1136/bmjopen-2014-005982 10.3109/00016349.2010.484044 10.2337/dc10-0719 10.1213/ANE.0b013e3182a5d539 10.1016/j.ajog.2015.01.043 |
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References | 2010; 89 2015; 372 2014; 118 2010; 33 2015; 12 2012; 90 2014; 4 2006; 33 2015; 212 1985; 2 2000; 105 2013; 62 2015; 122 2010; 203 2006; 195 2010; 375 2013; 122 2013; 121 2007; 85 2008; 111 2012; 7 2012; 5 2003; 188 27173945 - BJOG. 2016 Sep;123(10):1628 e_1_2_6_10_1 e_1_2_6_19_1 e_1_2_6_13_1 e_1_2_6_11_1 e_1_2_6_12_1 e_1_2_6_17_1 e_1_2_6_18_1 e_1_2_6_15_1 e_1_2_6_16_1 Martin JA (e_1_2_6_6_1) 2013; 62 e_1_2_6_21_1 e_1_2_6_20_1 Qian J (e_1_2_6_14_1) 2012; 5 e_1_2_6_9_1 e_1_2_6_8_1 e_1_2_6_5_1 e_1_2_6_4_1 e_1_2_6_7_1 World Health Organization (e_1_2_6_23_1) 1985; 2 e_1_2_6_25_1 e_1_2_6_24_1 e_1_2_6_3_1 e_1_2_6_2_1 e_1_2_6_22_1 e_1_2_6_26_1 |
References_xml | – volume: 122 start-page: 160 year: 2015 end-page: 4 article-title: China's 50% caesarean delivery rate: is it too high? publication-title: BJOG – volume: 203 start-page: 326 year: 2010 article-title: Contemporary cesarean delivery practice in the United States publication-title: Am J Obstet Gynecol – volume: 33 start-page: 676 year: 2010 end-page: 82 article-title: International association of diabetes and pregnancy study groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy publication-title: Diabetes Care – volume: 7 start-page: e43906 year: 2012 article-title: Caesarean delivery in South Italy: women without choice. A cross sectional survey publication-title: PLoS One – volume: 33 start-page: 270 year: 2006 end-page: 7 article-title: Cesarean section rates and maternal and neonatal mortality in low‐, medium‐, and high‐income countries: an ecological study publication-title: Birth – volume: 212 start-page: 817.e1 year: 2015 end-page: 9 article-title: Cesarean delivery on maternal request in China: what are the risks and benefits? publication-title: Am J Obstet Gynecol – volume: 62 start-page: 1 year: 2013 end-page: 69 article-title: Births: final data for 2011 publication-title: Natl Vital Stat Rep – volume: 85 start-page: 755 year: 2007 end-page: 62 article-title: Delivery settings and caesarean section rates in China publication-title: Bull World Health Organ – volume: 5 start-page: 39 year: 2012 end-page: 42 article-title: China's National cesarean rate: analysis and suggestions publication-title: J Popul Dev – volume: 89 start-page: 903 year: 2010 end-page: 8 article-title: High cesarean prevalence in a national population‐based study in Brazil: the role of private practice publication-title: Acta Obstet Gynecol Scand – volume: 121 start-page: 687 year: 2013 article-title: Preventing the first cesarean delivery: summary of a joint Eunice Kennedy Shriver National Institute of Child Health and Human Development, Society for Maternal‐Fetal Medicine, and American College of Obstetricians and Gynecologists workshop. In reply publication-title: Obstet Gynecol – volume: 375 start-page: 490 year: 2010 end-page: 9 article-title: Method of delivery and pregnancy outcomes in Asia: the WHO global survey on maternal and perinatal health 2007‐08 publication-title: Lancet – volume: 118 start-page: 604 year: 2014 end-page: 10 article-title: A randomized trial of the effects of antibiotic prophylaxis on epidural‐related fever in labour publication-title: Anesth Analg – volume: 4 start-page: e005982 year: 2014 article-title: Prevalence and determinants of caesarean section in private and public health facilities in underserved South Asian communities: cross‐sectional analysis of data from Bangladesh, India and Nepal publication-title: BMJ Open – volume: 105 start-page: 8 year: 2000 end-page: 13 article-title: Intrapartum maternal fever and neonatal outcome publication-title: Pediatrics – volume: 188 start-page: 1579 year: 2003 end-page: 85 article-title: Physician contribution to a cesarean delivery risk model publication-title: Am J Obstet Gynecol – volume: 90 start-page: 30 year: 2012 end-page: 9 article-title: Factors influencing rising caesarean section rates in China between 1988 and 2008 publication-title: Bull World Health Organ – volume: 372 start-page: 1710 year: 2015 end-page: 21 article-title: A cluster‐randomized trial to reduce cesarean delivery rates in Quebec publication-title: N Engl J Med – volume: 2 start-page: 436 year: 1985 end-page: 7 article-title: Appropriate technology for birth publication-title: Lancet – volume: 195 start-page: 1527 year: 2006 end-page: 32 article-title: Rising cesarean delivery rate in primiparous women in urban China: evidence from three nationwide household health surveys publication-title: Am J Obstet Gynecol – volume: 12 start-page: 57 year: 2015 article-title: What is the optimal rate of caesarean section at population level? A systematic review of ecologic studies publication-title: Reprod Health – volume: 7 start-page: e41436 year: 2012 article-title: Increase in caesarean deliveries after the Australian Private Health Insurance Incentive policy reforms publication-title: PLoS One – volume: 111 start-page: 1077 year: 2008 end-page: 82 article-title: Cesarean delivery on maternal request in southeast China publication-title: Obstet Gynecol – volume: 122 start-page: 33 year: 2013 end-page: 40 article-title: Primary cesarean delivery in the United States publication-title: Obstet Gynecol – ident: e_1_2_6_21_1 doi: 10.1097/AOG.0b013e3182854b36 – volume: 2 start-page: 436 year: 1985 ident: e_1_2_6_23_1 article-title: Appropriate technology for birth publication-title: Lancet contributor: fullname: World Health Organization – ident: e_1_2_6_5_1 doi: 10.1016/S0140-6736(09)61870-5 – ident: e_1_2_6_11_1 doi: 10.2471/BLT.11.090399 – ident: e_1_2_6_18_1 doi: 10.1371/journal.pone.0041436 – ident: e_1_2_6_22_1 doi: 10.1186/s12978-015-0043-6 – ident: e_1_2_6_2_1 doi: 10.1016/j.ajog.2006.03.044 – ident: e_1_2_6_3_1 doi: 10.1111/j.1523-536X.2006.00118.x – ident: e_1_2_6_7_1 doi: 10.1111/1471-0528.12971 – ident: e_1_2_6_20_1 doi: 10.1097/AOG.0b013e3182952242 – volume: 62 start-page: 1 year: 2013 ident: e_1_2_6_6_1 article-title: Births: final data for 2011 publication-title: Natl Vital Stat Rep contributor: fullname: Martin JA – ident: e_1_2_6_24_1 doi: 10.1056/NEJMoa1407120 – ident: e_1_2_6_25_1 doi: 10.1542/peds.105.1.8 – ident: e_1_2_6_16_1 doi: 10.1067/mob.2003.389 – ident: e_1_2_6_4_1 doi: 10.1016/j.ajog.2010.06.058 – ident: e_1_2_6_10_1 doi: 10.2471/BLT.06.035808 – ident: e_1_2_6_13_1 doi: 10.1097/AOG.0b013e31816e349e – ident: e_1_2_6_17_1 doi: 10.1371/journal.pone.0043906 – ident: e_1_2_6_9_1 – ident: e_1_2_6_15_1 doi: 10.1136/bmjopen-2014-005982 – ident: e_1_2_6_19_1 doi: 10.3109/00016349.2010.484044 – ident: e_1_2_6_12_1 doi: 10.2337/dc10-0719 – volume: 5 start-page: 39 year: 2012 ident: e_1_2_6_14_1 article-title: China's National cesarean rate: analysis and suggestions publication-title: J Popul Dev contributor: fullname: Qian J – ident: e_1_2_6_26_1 doi: 10.1213/ANE.0b013e3182a5d539 – ident: e_1_2_6_8_1 doi: 10.1016/j.ajog.2015.01.043 |
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Snippet | Objective
To examine the trends of caesarean delivery (CD) after an intervention to lower the high rate of CD at a Chinese maternity hospital.
Design... To examine the trends of caesarean delivery (CD) after an intervention to lower the high rate of CD at a Chinese maternity hospital. Retrospective cohort... Objective To examine the trends of caesarean delivery ( CD ) after an intervention to lower the high rate of CD at a Chinese maternity hospital. Design... Objective To examine the trends of caesarean delivery (CD) after an intervention to lower the high rate of CD at a Chinese maternity hospital. Design... OBJECTIVETo examine the trends of caesarean delivery (CD) after an intervention to lower the high rate of CD at a Chinese maternity... |
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SubjectTerms | Birth Injuries - epidemiology Caesarean delivery Cesarean section Cesarean Section - mortality Cesarean Section - statistics & numerical data China China - epidemiology Delivery, Obstetric - statistics & numerical data Elective Surgical Procedures - statistics & numerical data Female Hospitals, University Humans Infant, Newborn Obstetrics Perinatal care Perinatal Mortality Pregnancy Pregnancy complications quality improvement Retrospective Studies Statistical data Treatment Outcome |
Title | Lowering the high rate of caesarean delivery in China: an experience from Shanghai |
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