Risk Adjusted Rate of First-time Cesarean Section and Quality Assessment of Obstetrics
WAN Riming
LU Yunping
LIANG Weifeng
WANG Shuguang
LIN Shanqun
Abstract：Objective To evaluate the quality of obstetrics in our hospital by comparing the actual rate of cesarean section and risked adjusted rate of first-time cesarean section.Methods A retrospective study was carried out among 5 542 cases of women giving birth in the hospital from January 2009 to December 2010, including 2 276 cases of cesarean section.Risk factors involved with cesare-an section were researched and logistic regression equations were established by which the probabilities of cesarean section among moth-ers meeting the research criteria were computed.The average probability was the risk adjusted rate of first-time cesarean section.Re-sults The risks involved with cesarean section including primipara, elder age, complications of pregnancy, high income, high educa-tion, etc.The rate of cesarean section of the research group was remarkably lower than that of the control group, the difference between which was statistically significant (P<0.05).As for postoperative abdominal infections, postpartum hemorrhage and neonatal asphyxi-a, the difference was not statistically significant (P>0.05).Conclusion The risk adjusted rate of cesarean section is one of the most reliable indicators for evaluating the quality of obstetrics.
Keywords：rate of cesarean sectionrisk adjusted rate of first-time cesarean sectionquality of obstetrics
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 40-41,42 )