Cesarean Section in Relation to Demography, Pregnancy Maternal History, Behavioral Medical Characteristics, Crowd’s Willingness (Advice): A Prospective Follow-Up Study

Background: The abnormally high cesarean section rate results from complex factors, it is an urgent issue in medical field. The purpose of this study is to provide the evidence for the formulation of policies to reduce cesarean section rate from the social aspect of pregnant women themselves and people around them. Methods: This study conducted a follow-up survey of women entering the perinatal period in four districts and counties of Chongqing, explored the relationship between demography, pregnancy maternal history, behavioral medical characteristics, crowd's willingness (advice) and final birth outcomes. Results: The study showed that Chinese towns had a higher cesarean section rate than in rural areas; primiparas had a higher cesarean section rate; pregnant women are more likely to choose what their husbands or doctors recommend. Conclusions: The study suggests that China should develop medical services in rural and urban areas in a balanced manner, popularize the knowledge of childbirth, more education pregnant women and the surrounding people (especially their spouses) to treat cesarean section correctly, strengthen the management of doctors, establish relevant system, and standardize the behavior makes it strictly according to the associated medical indications of cesarean section surgery.