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Abstract Objective: To analyze cesarean delivery rate and cause percentage of cesarean delivery in recent 5 years, and to explore the effective measures to decrease cesarean delivery rate. Methods: The date of 5070 women who had deliveried by cesarean section from January 1, 2014 to December 30, 2018 was retrospectively reviewed. The cesarean delivery rate and cause percentage of cesarean delivery of women in each year were calculated. Results: The rate of cesarean delivery every year were 36.2% (1260 cases), 39.6 % (1362 cases), 43.1 % (1136 cases), 35.5% (689, cases), or 30.2% (623 cases) from 2014 to 2018. The proportion of cesarean delivery increased year by year from 2014 to 2016, and that decreased year by year from 2017 to 2018 (P<0.05). In the cause of cesarean delivery, the proportion of no clear reason was the highest, and the proportion of fetal distress was the second highest.Conclusion： Reducing cesarean delivery in primary pregnancy, avoiding overdiagnosis of fetal distress, and increasing the rate of vaginal trial delivery after cesarean section (VBAC) maybe the effective measurement to reduce cesarean delivery rate.
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