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- W2384173722 abstract "Objective: To explore the influencing factors and control strategies through analyzing the present situation of cesarean section in a hospital. Methods: A total of 1,411 hospitalized maternal medical records were investigated from a large hospital in Nanjing in 2009. They were then divided into two groups of natural delivery(vaginal delivery) and cesarean section according to the delivery mode. The general information, physical condition, intrapartum status were compared between the two groups, and the influencing factors for cesarean section were analyzed using multivariate1 logistic regression. Results: During 2009, the total of 608 cesarean section parturient(43.09%) were recorded in this hospital, whose age and weight were significantly higher than those of natural delivery parturient(P0.01), and the previous physical conditions were also relatively poorer. In addition, most of the cesarean section parturient had no production trillion and closed cervix when they were admitted to hospital, and their uterine height, abdominal circumference, fetal heart rate were obviously higher than those of natural delivery parturient(P0.05 or P0.01). Besides, B-ultrasound examination showed that the proportion of abnormal amniotic fluid(too much or less), macrosomia, malposition(mainly breech) and circulor of umbilical cord were also significantly higher than those of those of natural delivery parturient(P0.05 or P0.01). Furthermore, multivariate logistic regression analysis indicated the independent factors for cesarean section including maternal elderly(35 yr), admitted production trillion, malposition, excessive maternal abdominal circumference, fetal distress and neonatal overweight. Additionally, 19.24% of cesarean section had no clinical indications(social factors). Conclusion: The proportion of cesarean section is not lower in this hospital. Thus, the parturient should choose suitable delivery mode according to the influencing factors, particularly controlling the cesarean section without indications, in order to finally reduce the cesarean section rate." @default.
- W2384173722 created "2016-06-24" @default.
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- W2384173722 date "2014-01-01" @default.
- W2384173722 modified "2023-09-23" @default.
- W2384173722 title "Preliminary Investigation on Cesarean Section and Its Influencing Factors in a Large Hospital in Nanjing" @default.
- W2384173722 hasPublicationYear "2014" @default.
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