A cluster-randomized field trial to reduce cesarean section rates with a multifaceted intervention in Shanghai, China.

ABSTRACT:

Background

Cesarean section (CS) rate has risen dramatically and stayed at a very high level in China over the past two to three decades. Given the short- and long-term adverse effects of CS, effective strategies are needed to reduce unnecessary CS. We aimed to evaluate whether a multifaceted intervention would decrease the CS rate in China.

Methods

We carried out a cluster-randomized field trial with a multifaceted intervention in Shanghai, China, from 2015 to 2017. A total of 20 hospitals were randomly allocated into an intervention or a control group. The intervention consisted of more targeted health education to pregnant women, improved hospital CS policy, and training of midwives/doulas for 8 months. The study included a baseline survey, the intervention, and an evalua

SUBMITTER: Zhang L 

PROVIDER: S-EPMC7020498 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature