Abstract：
BACKGROUND:In recent decades we have observed a remarkable increase in the rate of caesarean section (CS) in both developed and developing countries, especially in China. However, the real reasons for this phenomenon are uncertain. Notably, the number of women requesting elective CS without accepted valid medical indication has also increased, generating a nationwide debate because several studies have shown that this may be the underlying cause of the increase in CS rates observed recently. Therefore, we carried out a multicentre, large-sample, cross-sectional study to describe the CS rate and indications for CS in mainland China during 2011. METHODS:This was a multicentre, large-sample, cross-sectional study of women who delivered infants in 39 hospitals in 14 provinces in China during 2011. We selected 111, 315 deliveries that occurred during 2011, excluding miscarriages or termination of pregnancy before 28 gestational weeks. RESULTS:The overall rate of CS in mainland China was 54.90%. The most common indication for CS was caesarean delivery on maternal request (CDMR; 28.43%), followed by cephalo-pelvic disproportion (14.08%), fetal distress (12.46%), previous CS (10.25%), malpresentation and breech presentation (6.56%), macrosomia (6.10%) and other indications (22.12%). CDMR accounted for 15.53% of all the deliveries and 28.43% of all CS deliveries in mainland China. CONCLUSIONS:CDMR appears to be a considerable driver behind the increasing CS rate in mainland China. The relaxation of China's "one-child policy" may translate into a greater number of CS because of previous CS delivery. To decrease the CS rate, we should first decrease the rate of CS on maternal request. Appropriate policies and guidelines should be considered to accomplish the goal.
journal_name
BMC Pregnancy Childbirthjournal_title
BMC pregnancy and childbirthauthors
Liu Y,Li G,Chen Y,Wang X,Ruan Y,Zou L,Zhang Wdoi
10.1186/s12884-014-0410-2subject
Has Abstractpub_date
2014-12-12 00:00:00pages
410issn
1471-2393pii
s12884-014-0410-2journal_volume
14pub_type
杂志文章,多中心研究abstract：BACKGROUND:An accurate estimate of preconception weight is necessary for providing a gestational weight gain range based on the Institute of Medicine's guidelines; however, an accurate and proximal preconception weight is not available for most women. We examined the validity of first trimester weights for estimating p...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/s12884-016-1159-6
更新日期：2016-11-21 00:00:00
abstract：BACKGROUND:Research focusing on paternal mental health is limited, especially regarding the impact of the experience of poor mental health in the perinatal period. For example, little is known about the experiences of fathers who witness their partner's traumatic birth and the subsequent impact on their mental health. ...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/s12884-020-02902-2
更新日期：2020-04-22 00:00:00
abstract：BACKGROUND:Lack of a unified and comparable classification system to unravel the underlying causes of stillbirth hampers the development and implementation of targeted interventions to reduce the unacceptably high stillbirth rates (SBR) in sub-Saharan Africa. Our aim was to track the SBR and the predominant maternal an...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/s12884-020-03059-8
更新日期：2020-07-01 00:00:00
abstract：BACKGROUND:Obstetric hemorrhage is the leading cause of maternal mortality globally. The Non-pneumatic Anti-Shock Garment (NASG) is a low-technology, first-aid compression device which, when added to standard hypovolemic shock protocols, may improve outcomes for women with hypovolemic shock secondary to obstetric hemor...
journal_title：BMC pregnancy and childbirth
pub_type： 临床试验,杂志文章,多中心研究
doi：10.1186/1471-2393-10-64
更新日期：2010-10-18 00:00:00
abstract：BACKGROUND:Human papillomavirus (HPV) is known to be more prevalent in spontaneous abortions than in elective terminations of pregnancy. More recently, placental infection with HPV was shown to be associated with spontaneous preterm delivery. However, no study has evaluated the prevalence of HPV infection in pregnant K...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/1471-2393-13-173
更新日期：2013-09-06 00:00:00
abstract：BACKGROUND:Maternity waiting homes (MWHs) are accommodations located near a health facility where women can stay towards the end of pregnancy and/or after birth to enable timely access to essential childbirth care or care for complications. Although MWHs have been implemented for over four decades, different operationa...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/s12884-017-1444-z
更新日期：2017-08-31 00:00:00
abstract：BACKGROUND:Muslim women of child-bearing age make up a fair part of the UK society, however, literature addressing their health needs or experiences of health services have not been extensively researched. The term 'Muslim' is often combined with ethnic group identity, rather than used to refer to people distinguished ...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/s12884-019-2302-y
更新日期：2019-05-06 00:00:00
abstract：BACKGROUND:An estimated two-thirds of the world's 2.7 million newborn deaths could be prevented with quality care at birth and during the postnatal period. Basic Newborn Care (BNC) is part of the solution and includes hygienic birth and newborn care practices including cord care, thermal care, and early and exclusive b...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/1471-2393-15-S2-S4
更新日期：2015-01-01 00:00:00
abstract：BACKGROUND:Pregnancy is a stress test of maternal thyroid function. The prevalence of thyroid dysfunction in pregnant women is high. Subclinical hypothyroidism occurs in 10% of all pregnancies. Effects of hypothyroidism in pregnancy are anemia, low birth weight and mental retardation in neonate. This study is aimed to ...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/s12884-020-03448-z
更新日期：2020-12-10 00:00:00
abstract：BACKGROUND:Men in patriarchal societies of developing countries are often identified as decision makers in all aspects of day-to-day life. The study explores the factors associated with male involvement in ANC, birth plans, exclusive breastfeeding and immunization of children. METHODS:A cross-sectional survey was cond...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/1471-2393-13-14
更新日期：2013-01-16 00:00:00
abstract：BACKGROUND:There is significant evidence to support the importance of prenatal care in preventing adverse outcomes such as preterm birth and low infant birth weight. Previous studies have indicated that the benefits of prenatal care are not evenly distributed throughout the social strata. In addition, emerging evidence...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/1471-2393-13-S1-S5
更新日期：2013-01-01 00:00:00
abstract：BACKGROUND:The effect of pregnancy intention on post-natal practices like breastfeeding is still poorly understood in the Philippines. In this light, this study aims to determine the association between pregnancy intention and optimal breastfeeding practices in the Philippines. METHODS:This is a cross-sectional study ...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/1471-2393-12-69
更新日期：2012-07-23 00:00:00
abstract：BACKGROUND:As maternal deaths have decreased worldwide, increasing attention has been placed on the study of severe obstetric complications, such as hemorrhage, eclampsia, and obstructed labor, to identify where improvements can be made in maternal health. Though access to medical care is considered to be life-saving d...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/1471-2393-11-76
更新日期：2011-10-21 00:00:00
abstract：BACKGROUND:Pregnancy-related low back pain is considered an important health problem and potentially leads to long-lasting pain and disability. Investigators draw particular attention to biomedical factors but there is growing evidence that psychosocial and social factors might be important. It prompted us to start a l...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章,随机对照试验
doi：10.1186/1471-2393-8-19
更新日期：2008-05-30 00:00:00
abstract：BACKGROUND:UNICEF and WHO recommend that all children should be exclusively breastfed for the first 6 months of life as breastmilk contains all the nutrients an infant needs during this period. In Malawi, exclusive breastfeeding has been declining from 72% (2009), 70.2% (2014) and 61% in the most recent survey (2015-16...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/s12884-020-03160-y
更新日期：2020-08-17 00:00:00
abstract：BACKGROUND:Congenital malformations contribute significantly to the disease burden among children globally. A study conducted in Kenya on understanding the burden of surgical congenital anomalies, highlights the need for Kenyan health systems to go beyond the medical dimensions of illness. This could be achieved by lin...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/s12884-018-1824-z
更新日期：2018-05-23 00:00:00
abstract：BACKGROUND:Twin pregnancy is associated with increased perinatal mortality. Close foetal monitoring is therefore warranted. Doppler Ultrasound cardiotocography is currently the only available method to monitor both individual foetuses. Unfortunately, the performance measures of this method are poor and erroneous monito...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/s12884-020-02918-8
更新日期：2020-04-15 00:00:00
abstract：BACKGROUND:The continuous rise in caesarean rates across most European countries raises multiple concerns. One factor in this development might be the type of care women receive during childbirth. 'Supportive care during labour' by midwives could be an important factor for reducing fear, tension and pain and decreasing...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章,多中心研究
doi：10.1186/1471-2393-14-300
更新日期：2014-09-02 00:00:00
abstract：BACKGROUND:Maternal smoking can cause health complications in pregnancy. Particulate matter (PM2.5) metrics applied to second hand smoke (SHS) concentrations provide indoor air quality (IAQ) measurements and have been used to promote smoking behaviour change among parents of young children. Here, we present the qualita...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/s12884-016-1062-1
更新日期：2016-10-12 00:00:00
abstract：BACKGROUND:In an era of worldwide population displacement, recent studies have identified strong associations between social situations and perinatal outcomes among immigrants. Little is known about the effect of maternal social background on pregnancy outcomes. The Human Development Index (HDI) assesses the following ...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/s12884-017-1515-1
更新日期：2017-09-21 00:00:00
abstract：BACKGROUND:Gestational diabetes mellitus (GDM) is a growing global epidemic. Our study aims to confirm the association between circulatory coiled-coil domain-containing 80 (CCDC80) in pregnant women with GDM, to investigate the discriminatory power of CCDC80 on GDM, and to explore the relationships between this molecul...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/s12884-020-2743-3
更新日期：2020-01-28 00:00:00
abstract：:BACKGROUND: In the Confidential Enquiry into Maternal Deaths (CEMD) Report, the very high risk of mortality in women who refuse blood transfusions is highlighted. The objectives were to establish current knowledge about, and views of transfusion in our pregnant population and to establish the level of compliance with ...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/1471-2393-2-7
更新日期：2002-09-25 00:00:00
abstract：BACKGROUND:Although a number of antenatal and intrapartum interventions have shown some evidence of impact on stillbirth incidence, much confusion surrounds ideal strategies for delivering these interventions within health systems, particularly in low-/middle-income countries where 98% of the world's stillbirths occur....
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章,meta分析,评审
doi：10.1186/1471-2393-9-S1-S7
更新日期：2009-05-07 00:00:00
abstract：BACKGROUND:Support from a doula is known to have physical and emotional benefits for mothers, but there is little evidence about the experiences of volunteer doulas. This research aimed to understand the motivation and experiences of volunteer doulas who have been trained to support women during pregnancy, birth and th...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/s12884-016-1086-6
更新日期：2016-09-29 00:00:00
abstract：BACKGROUND:Gestational diabetes mellitus (GDM), defined as any degree of glucose intolerance with onset during pregnancy, is increasing worldwide, mostly because obesity among women of reproductive age is continuously escalating. GDM is associated with adverse maternal and fetal outcomes. The aim of this article was to...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章,评审
doi：10.1186/s12884-016-1205-4
更新日期：2017-01-13 00:00:00
abstract：BACKGROUND:Early antenatal care (ANC) initiation is a doorway to early detection and management of potential complications associated with pregnancy. Although the literature reports various factors associated with ANC initiation such as parity and age, pregnancy intentions is yet to be recognized as a possible predicto...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/1471-2393-13-35
更新日期：2013-02-06 00:00:00
abstract：BACKGROUND:Delayed access to antenatal care ('late booking') has been linked to increased maternal and fetal mortality and morbidity. The aim of this qualitative study was to understand why some women are late to access antenatal care. METHODS:27 women presenting after 19 completed weeks gestation for their first hosp...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/1471-2393-14-207
更新日期：2014-06-16 00:00:00
abstract：BACKGROUND:Medical screening detects risk factors for disease or presence of disease in otherwise well persons in order to intervene early and reduce morbidity and mortality. During antenatal care (ANC) it is important to detect conditions that complicate pregnancy, like gestational diabetes mellitus (GDM). Despite int...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/s12884-020-03115-3
更新日期：2020-07-23 00:00:00
abstract：BACKGROUND:Increasing institutional births rates and improving access to comprehensive emergency obstetric care are central strategies for reducing maternal and neonatal deaths globally. While some studies show women consider service availability when determining where to deliver, the dynamics of how and why institutio...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/s12884-017-1267-y
更新日期：2017-03-04 00:00:00
abstract：BACKGROUND:Diabetes is a serious and growing public health concern in South Africa, but its prevalence and distribution in pregnant women is not well known. Women diagnosed with diabetes during pregnancy have a substantially greater risk of adverse health outcomes for both mother and child. This study aims to determine...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/s12884-016-1218-z
更新日期：2017-01-10 00:00:00
