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Table 4 Hospital-based cesarean section rates by the primary indication and by the group allocation during the baseline and post-intervention periods, Shanghai, China

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

 

Intervention group (10 hospitals)

Control group (10 hospitals)

p value

Cesarean indications

Baseline (N = 5498)

Evaluation (N = 5092)

Baseline (N = 5254)

Evaluation (N = 5429)

 

Scarred uterus, no. (%)

716 (13.0)

897 (17.6)

632 (12.3)

863 (15.9)

0.24

Cesarean section without medical indication, no. (%)

480 (8.7)

401 (7.9)

456 (8.7)

429 (7.9)

0.21

Abnormal fetal heart rate (FHR) pattern, no. (%)

325 (5.9)

257 (5.1)

413 (7.9)

395 (7.3)

0.08

Breech or transverse presentation, no. (%)

230 (4.2)

173 (3.4)

200 (3.8)

178 (3.3)

0.24

Macrosomia, no. (%)

135 (2.5)

106 (2.1)

109 (2.1)

92 (1.7)

0.71

Prolonged labor, no. (%)

65 (1.2)

69 (1.4)

49 (0.9)

39 (0.7)

0.30

Other indications, no. (%)

382 (7.0)

303 (6.0)

317 (6.0)

300 (5.5)

0.11

Total, no. (%)

2333 (42.4)

2206 (43.3)

2176 (41.4)

2296 (42.3)

0.01