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C-Section via Shutterstock

Why is China so dependent on c-sections?

A new paper reckons its too dependent, even.

CHINA IS TOO dependent on caesarian sections, a new commentary in the British Journal of Obstetrics and Gynaecology (BJOG) says.

In 2010, around 8 million children were delivered by c-section in China, the commentary says. That represents an exponential growth. Although the exact rate is not known, the current Chinese language literature on caesarean rates in China reports total caesarean rates ranging from 36% to 58%. However, before the 1980s, the caesarean rate was below 5% and it did not rise above 10% until after 1990.

The commentary, offering an analysis into reasons for the increase in caesarean section in the last few decades, concludes that China’s high caesarean section rate appears to be driven by three factors: the structure of the obstetric care system, provider incentives and cultural aspects of patient preference.

It pinpoints a number of reasons for thigh uptake of c-sections:

  • The high number of deliveries, but low resources, favours c-sections
  • Insurance coverage and other financial incentives promote its use
  • Low staff levels in hospitals
  • Varying levels of expertise in obstetrics
  • Bonuses are paid to doctors who deliver by c-sections

Susan Hellerstein, Assistant Professor in Obstetrics and Gynaecology, Harvard Medical School, Brigham and Women’s Hospital, and co-author of the study said:

“Since the 1990’s China has seen a dramatic increase in caesarean delivery rates from less than 10% to over half of women now delivering via caesarean section. This is likely to change in the future and efforts must be made to encourage vaginal delivery by reforming certain aspects of the Chinese obstetric care system.”

“However, it is important to recognise that any efforts to decrease the caesarean section rate must take into account the safety and effectiveness of this delivery method in modern China and preserve maternal and perinatal health.”

Read: National Women’s Council calls State refusal of abortion to woman ‘barbaric’

Read: Explainer: What is the 8th Amendment?

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28 Comments
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    Mute Rob O Reilly
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    Jan 23rd 2015, 12:44 PM

    Good response, don’t allow the guy to become a martyer.

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    Mute Frank
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    Jan 23rd 2015, 3:05 PM

    They said the same about Bin Laden.

    http://s22.postimg.org/7fzdr6j9t/Bin.png

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    Mute Robert Cummins
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    Jan 24th 2015, 3:40 AM

    They also did the same with Che Guevara. Cut him up and scattered him so there would be no grace to worship. Well that didn’t work out so well did it!

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    Mute Robert Cummins
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    Jan 24th 2015, 3:41 AM

    *grave

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    Mute aido m
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    Jan 23rd 2015, 12:43 PM

    May he rot in hell .

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    Mute Neal Ireland Hello
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    Jan 23rd 2015, 1:12 PM

    Roast?

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    Mute Stanley Groves
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    Jan 23rd 2015, 1:58 PM

    He didn’t deserve to be buried in European soil. He’s body should have been cremated and the ashes flushed down the toilet like sewage!!

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    Mute Frank
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    Jan 23rd 2015, 2:27 PM

    They wouldn’t do that to a crisis actor.

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    Mute Paddy Hannigan
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    Jan 23rd 2015, 2:30 PM

    Exactly.Considering most muslim leaders have said his actions were unislamic I dont think anyone would have minded if he was not afforded a muslim burial.Being buried in an unmarked grave might sound bad to non muslims but its standard practice in Islam.The late Saudi king will be buried in an unmarked grave later today.

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    Mute Francie Coffey
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    Jan 23rd 2015, 12:53 PM

    It was a great idea to bury him with his ass sticking out of the ground, outside a Synagogue, – for Jews to park their bikes.

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    Mute Weston's Super Mare
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    Jan 23rd 2015, 1:03 PM

    What an incredibly bizarre statement.

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    Mute Negativebird
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    Jan 23rd 2015, 1:13 PM

    I am quite intrigued by your creativity.

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    Mute Francie Coffey
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    Jan 23rd 2015, 7:03 PM

    Bizarre, creative, – thank you…
    - the ultimate compliments…

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    Mute Juninho
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    Jan 23rd 2015, 7:40 PM

    Perverse

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    Mute Patrick Mulligan
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    Jan 23rd 2015, 1:00 PM

    his body should have been put on the plane to Mali and let them worry about it

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    Mute David adams
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    Jan 23rd 2015, 1:38 PM

    I guess with an unmarked grave this piece of trash won’t get his virgins and paradise after all. All he got was an unmarked piece of rotten soil no good for even growing on. He got his just deserts.

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    Mute Charles
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    Jan 23rd 2015, 12:44 PM

    And yet they refused to bury a baby last week…

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    Mute Dermot Ryan
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    Jan 23rd 2015, 12:52 PM

    Great point Charles !

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    Mute Neal Ireland Hello
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    Jan 23rd 2015, 1:31 PM

    A particular cemetery refused. Not the whole country.

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    Mute Sean
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    Jan 23rd 2015, 3:08 PM

    Should have been fed to a load of pigs

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    Mute Horgay H
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    Jan 23rd 2015, 1:33 PM

    Will the leaders of the West who were responsible for the Libyan intervention and the deaths of tens of thousands of innocent civilians, not just a few, will they be buried in unmarked graves?

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    Mute Munster2014
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    Jan 23rd 2015, 1:48 PM

    Big difference between collateral damage and intentionally setting out to kill innocent people.

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    Mute Robert Cummins
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    Jan 24th 2015, 3:50 AM

    Whilst I am no America basher or tin foil hat wearer, just a history enthusiast, there are countless cases of Americans targeting civilians purposely, especially in the Vietnam war. Although most of it was probably never sanctioned from the top, it certainly did happen. Look up the Mai Lai massacre for one example. Unbelievable that the commanding office of the unit involved in that massacre is now a senator.

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    Mute Frederick Constant
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    Jan 23rd 2015, 2:31 PM

    Some really classy comments here on this story. Makes one wonder and despair in equal measure.

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    Mute Mike Clinton
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    Jan 23rd 2015, 3:35 PM

    Should have left the carcass in a field and let the wildlife feed off it.

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    Mute Charles
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    Jan 23rd 2015, 12:45 PM

    Sorry two weeks ago.

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    Mute ptriley
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    Jan 23rd 2015, 5:47 PM

    Throw his remains to some starving dogs

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    Mute Michael Sands
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    Jan 23rd 2015, 8:41 PM

    Burning in Hell… What more could evil people deserve… He was autopsied too and might have been shot by a police woman…

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    Mute KeiKe
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    Jan 23rd 2015, 7:27 PM

    Should’ve just tossed him into the sea for the crabs to chew on

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    Mute Mick Madden
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    Jan 23rd 2015, 8:57 PM

    Burn the fecca

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    Mute Tap Solny
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    Jan 23rd 2015, 2:39 PM

    He would be accepted in Dundalk.

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    Mute Colin Byrne
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    Jan 23rd 2015, 3:23 PM

    Wanna qualify that statement Tap?

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    Mute Paul Debussy
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    Jan 23rd 2015, 4:08 PM

    He won’t. He always makes weird little comments then runs off without trying to back them up.

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    Mute shane murphy
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    Jan 23rd 2015, 6:47 PM

    @tap you are a thick ignoramus out looking for attention, get a life and act your age!

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