Analysis of cesarean section rate and indications of pregnant women of floating population in a tertiary hospital in Dongguan city from 2014 to 2020
WANG Yan-yan
CHEN Jun-hu
XIANG Jin-cao
WANG Cai-hong
Abstract：Objective To analyze the changes of cesarean section rate and indications of pregnant women of floating population in a tertiary hospitals in Dongguan city.Methods The clinical data of floating postpartum women were collected,who were hospitalized and delivered in tertiary hospital from 2014 to 2020 in Dongguan city,and the composition and changes of cesarean section indicators were considered as the first indication and retrospective analysiswere conducted.Results The total number of pregnant women in this study was 32 401,including 8 721 cases of cesarean section,and the cesarean section rate was 26.9％.The cesarean section rates for each year from 2014 to 2020 were 29.8％,25.2％,26.6％,26.3％,25.1％,28.0％,and 27.1％,respectively.The indications for cesarean section was primarily scar uterus,followed by abnormal fetal position,fetal distress,and social factors.Among the indications for cesarean section in elderly and non elderly maternal,the scar uterus and abnormal fetal position were ranked first and second,respectively.The third indication for cesarean section was matemal requirements and fetal distress in the uterus,respectively.The proportions of scar uterus,placenta previa and severe complications of pregnancy in the advanced matemal age were higher than those in non elderly maternal,while the proportions of abnormal labor process,fetal distress and oligohydramnios in non elderly maternal were higher than those in the advanced maternal age(P＜0.05).Conclusion The cesarean section rate in this study is still higher than WHO standards,and the indications for cesarean section are mainly scar uterus and abnormal fetal position.
Keywords：floating populationpregnant womentertiary hospitalrate of cesarean sectioncesarean section indication
Publication Date：2024-04-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 175-178 )