Use of the 10-Group Classification System to analyze how the population control policy change in China has affected cesarean delivery

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
Yihui ZhangYimin Dai

Abstract

To analyze the initial effect following the relaxation of China's population control policy on the cesarean delivery (CD) rate using the 10-Group Classification System (TGCS). A retrospective study included all deliveries at a center in Nanjing, China, during 2014-2015. The deliveries were classified using the TGCS. The obstetric populations and the CD rates in each group were compared between 2014 and 2015. Overall, 11 006 deliveries were analyzed. The overall CD rate increased from 28.3% (1623/5737) in 2014 to 33.8% (1782/5269) in 2015 (P<0.001). The largest contributor to the overall CD rate-accounting for approximately one-third of all CDs-were nulliparous women with a single cephalic term pregnancy and induced labor or prelabor CD (group 2); the CD rate in this group increased from 27.2% to 31.4%. Moreover, the proportion of women with a single cephalic term pregnancy with previous CD (group 5) steeply increased from 6.4% to 10.4% of all deliveries; the CD rate in this group during 2014-2015 was 76.6%. With China ending its one-child policy, the characteristics of the obstetric population changed. Women with a single cephalic term pregnancy with previous CD were the largest contributor to the CD rate increase.

References

May 22, 2001·Best Practice & Research. Clinical Obstetrics & Gynaecology·M S Robson
Jan 15, 2010·Lancet·Pisake LumbiganonUNKNOWN World Health Organization Global Survey on Maternal and Perinatal Health Research Group
Feb 2, 2011·PloS One·Maria Regina TorloniMario Merialdi
Apr 3, 2012·American Journal of Obstetrics and Gynecology·Luz GibbonsFernando Althabe
Apr 24, 2012·American Journal of Obstetrics and Gynecology·S Katherine LaughonUma M Reddy
Feb 24, 2015·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Elton C FerreiraJose G Cecatti
Apr 14, 2015·The Lancet Global Health·Joshua P VogelUNKNOWN WHO Multi-Country Survey on Maternal and Newborn Health Research Network
Dec 18, 2015·Medicina·Eglė BarčaitėRūta Nadišauskienė
May 19, 2016·PloS One·Yanjun ZhaoCaroline Geerts
Sep 24, 2016·Obstetrics and Gynecology·UNKNOWN Committee on Practice Bulletins—Obstetrics, UNKNOWN Society for Maternal–Fetal Medicine

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Citations

Nov 25, 2020·BMC Pregnancy and Childbirth·Guoqiang SunYao Cheng
Feb 17, 2021·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Ning GuYali Hu

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