Does attendance of a prenatal education course reduce rates of caesarean section on maternal request? A questionnaire study in a tertiary women hospital in Shanghai, China
ObjectiveCaesarean section rates have significantly increased worldwide. China has a caesarean rate of 46%, with a moderate contribution of caesarean section on maternal request. In this study, we investigated the association between maternal characteristics, attendance at a prenatal education cours...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2019-06-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/6/e029437.full |
| _version_ | 1819152495437414400 |
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| author | Qi Chen Yifei Gao Yunhui Tang Mancy Tong |
| author_facet | Qi Chen Yifei Gao Yunhui Tang Mancy Tong |
| author_sort | Qi Chen |
| collection | DOAJ |
| description | ObjectiveCaesarean section rates have significantly increased worldwide. China has a caesarean rate of 46%, with a moderate contribution of caesarean section on maternal request. In this study, we investigated the association between maternal characteristics, attendance at a prenatal education course and caesarean section on maternal request.DesignQuestionnaire study.SettingTertiary hospital in China.Sample564 questionnaires.MethodsOn postpartum day 42, questionnaire data were collected. Data including age, parity, gravida, delivery mode, educational level, residence status, living condition and attendance of prenatal education course were analysed.Primary and secondary outcome measuresFactors associated with caesarean section on maternal request.Results46% of women were delivered by caesarean section on maternal request. Maternal age and residence status were all significantly associated with having a caesarean section on maternal request. The OR of an increase in caesarean section on maternal request in women over 30 years was 2.42 (95%confidence limits 1.597 to 3.666), compared with women under 30 years. 75% more women who resided in Shanghai had caesarean section on maternal request, compared with women who resided outside of Shanghai. However, there was a significant reduction (35%) in the number of caesarean sections on maternal request in women who attended a prenatal education course (p=0.029). There was no significant association between attendance of a prenatal education course and the other maternal characteristics studied.ConclusionMaternal age is associated with an increased risk of caesarean section on maternal request. For women of all age, attendance of a prenatal education course significantly reduced the rate of caesarean section on maternal request. Our data suggest that promotion of a prenatal education course is an important tool in China to reduce the rate of caesarean section. |
| first_indexed | 2024-12-22T14:50:12Z |
| format | Article |
| id | doaj.art-ad363c24c3504b7fbe00f475a29aca77 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-12-22T14:50:12Z |
| publishDate | 2019-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-ad363c24c3504b7fbe00f475a29aca772022-12-21T18:22:20ZengBMJ Publishing GroupBMJ Open2044-60552019-06-019610.1136/bmjopen-2019-029437Does attendance of a prenatal education course reduce rates of caesarean section on maternal request? A questionnaire study in a tertiary women hospital in Shanghai, ChinaQi Chen0Yifei Gao1Yunhui Tang2Mancy Tong31 The Hospital of Obstetrics & Gynaecology, Fudan University, Shanghai, China 1 The Hospital of Obstetrics & Gynaecology, Fudan University, Shanghai, China 1 The Hospital of Obstetrics & Gynaecology, Fudan University, Shanghai, China 2 Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University, New Haven, UK ObjectiveCaesarean section rates have significantly increased worldwide. China has a caesarean rate of 46%, with a moderate contribution of caesarean section on maternal request. In this study, we investigated the association between maternal characteristics, attendance at a prenatal education course and caesarean section on maternal request.DesignQuestionnaire study.SettingTertiary hospital in China.Sample564 questionnaires.MethodsOn postpartum day 42, questionnaire data were collected. Data including age, parity, gravida, delivery mode, educational level, residence status, living condition and attendance of prenatal education course were analysed.Primary and secondary outcome measuresFactors associated with caesarean section on maternal request.Results46% of women were delivered by caesarean section on maternal request. Maternal age and residence status were all significantly associated with having a caesarean section on maternal request. The OR of an increase in caesarean section on maternal request in women over 30 years was 2.42 (95%confidence limits 1.597 to 3.666), compared with women under 30 years. 75% more women who resided in Shanghai had caesarean section on maternal request, compared with women who resided outside of Shanghai. However, there was a significant reduction (35%) in the number of caesarean sections on maternal request in women who attended a prenatal education course (p=0.029). There was no significant association between attendance of a prenatal education course and the other maternal characteristics studied.ConclusionMaternal age is associated with an increased risk of caesarean section on maternal request. For women of all age, attendance of a prenatal education course significantly reduced the rate of caesarean section on maternal request. Our data suggest that promotion of a prenatal education course is an important tool in China to reduce the rate of caesarean section.https://bmjopen.bmj.com/content/9/6/e029437.full |
| spellingShingle | Qi Chen Yifei Gao Yunhui Tang Mancy Tong Does attendance of a prenatal education course reduce rates of caesarean section on maternal request? A questionnaire study in a tertiary women hospital in Shanghai, China BMJ Open |
| title | Does attendance of a prenatal education course reduce rates of caesarean section on maternal request? A questionnaire study in a tertiary women hospital in Shanghai, China |
| title_full | Does attendance of a prenatal education course reduce rates of caesarean section on maternal request? A questionnaire study in a tertiary women hospital in Shanghai, China |
| title_fullStr | Does attendance of a prenatal education course reduce rates of caesarean section on maternal request? A questionnaire study in a tertiary women hospital in Shanghai, China |
| title_full_unstemmed | Does attendance of a prenatal education course reduce rates of caesarean section on maternal request? A questionnaire study in a tertiary women hospital in Shanghai, China |
| title_short | Does attendance of a prenatal education course reduce rates of caesarean section on maternal request? A questionnaire study in a tertiary women hospital in Shanghai, China |
| title_sort | does attendance of a prenatal education course reduce rates of caesarean section on maternal request a questionnaire study in a tertiary women hospital in shanghai china |
| url | https://bmjopen.bmj.com/content/9/6/e029437.full |
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