Effect of China's Universal Two-child Policy on the Rate of Cesarean Delivery: A Case Study of a Big Childbirth Center in China

作     者：Shu-guo DU Fei TANG Yun ZHAO Guo-qiang SUN Ying LIN Zhi-hua TAN Xu-feng WU 

作者机构：Department of ObstetricsMaternal and Child Health Hospital of Hubei ProvinceAffiliated Hospital of Tongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430070China Department of Gynecology and OncologyMaternal and Child Health Hospital of Hubei ProvinceAfiliated Hospital of Tongji Medical CollegeHuazhong Universiry of Science and TechnologyWuhan 430070China 

出 版 物：《Current Medical Science》 (当代医学科学（英文）)

年 卷 期：2020年第40卷第2期

页      面：348-353页

核心收录：

学科分类：0202[经济学-应用经济学] 02[经济学] 020205[经济学-产业经济学] 

基　　金：This study was supported by the Health and Farmily Planning Commission of Hubei Province(No.WJ2018H0133) 

主　　题：cesarean delivery elective repeat cesarean delivery Trial of Labor After Cesarean Section(TOLAC) 

摘      要：China s universal two child policy was released in October of *** would this new policy influence the rate of overall cesarcan delivery(CD)in China?The objective of this paper is to investigate the trend of overall CD rate with the increase of number of multiparous women based on a big childbirth center of China(a tertiary hospital)in *** this study,22530 cases from the medical record department of a big childbirth center of China from January 1 to December 31 in 2016 were entolled as research *** health records of these selected objects were *** t0 the history of childbirth,the selected cases were divided into primiparous group containing 16340 cases and multiparous group containing 6190 ***-square test was carried out to compare the rate of CD,neuraxial labor analgesia,maternity insurance between the two groups;1-test was performed to compare the in-hospital days and gestational age at birth between the two *** corrclation coefficient was used to evaluate the rclationship among observed monthly rate of multiparas,overall CD rate,and Elective Repeat Cesarean Delivery(ERCD)*** results showed that the CD rate in multiparous group was 55.46%,which was higher than that in primiparous group(34.66%,P0.05).The rate of neuraxial labor analgesia in multiparas group was 9.29%,which was lower than that in primiparas group(35.94%,P0.05).However,the rate of maternity insurance was higher in multiparas group(57.00%)than that in primiparas group(41.08%,P0.05).The hospital cost and in-hospital days in multiparas group were higher,and the gcstational age at birth in multiparas group was lower than in primiparas group(P0.05).The overall CD rate slightly dropped in the first 4 months of the year(P0.05),then increased from 36.27%(April)to 43.21%(Dcember)(P0.05).The rate of multiparas women and ERCD had the same trend(P0.05).There were linear correlations among the rate of overall CD,the rate of multiparas women and t