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| Analysis of causes of cesarean section among maternal women with “two children” |
| Zhang Huixian, Li Hua, Zhou Li′na, Ye Jiesuo |
| Department of the First Gynaecology and Obstetrics, North Region of Ningbo Women and Children′s Hospital, Ningbo 315031, China |
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Abstract Objective To analyze the causes of cesarean section among maternal women with “one child” and ”two children”, in order to reduce the caesarean section rate.Methods The research focused on 3 498 maternal women from department of gynaecology and obstetrics of ningbo women and children's hospital, and clinical data of all the maternal women were analyzed retrospectively. The conditions of cesarean section between the two groups were statistically analyzed, so were the sources of information of delivery mode for maternal women with “one child” and “two children” and the main causes of cesarean section.Results The cesarean section rate of maternal women with “two children” was apparently higher than that of maternal women with “one child”, and there were significant differences between the two groups (P<0.01). Among 1 668 maternal women with “one child”, the most important sources of information that affected 617 (36.99%) maternal women′ delivery mode were the Internet, TV, newspaper and magazines. Among 1 830 maternal women with “two children”, the most important sources of information that affected 657 (35.90%) maternal women′ delivery mode was learning in pregnant women school. Social factors, abnormal stage of labor, birth canal and the factors of fetus were the main causes of cesarean section among maternal women with “one child”. Cicatricial uterine, pregnancy complications and social factors were the main causes of cesarean section among maternal women with “two children”.Conclusion The cesarean section rate of maternal women with “two children” is higher. Cicatricial uterine, pregnancy complications and social factors are the main causes of cesarean section among maternal women with “two children” and need more attention.
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Received: 16 May 2018
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