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Papers of the Week

2020 Apr 22

Anesth Analg

The Effect of the No Pain Labor & Delivery-Global Health Initiative on Cesarean Delivery and Neonatal Outcomes in China: An Interrupted Time-Series Analysis.


Drzymalski DM, Guo J-C, Qi X-Q, Tsen LC, Sun Y, Ouanes J-PP, Xia Y, Gao W D, Ruthazer R, Hu F, Hu L-Q
Anesth Analg. 2020 Apr 22.
PMID: 32332290.


The proportion of live births by cesarean delivery (CD) in China is significant, with some, particularly rural, provinces reporting up to 62.5%. The No Pain Labor & Delivery-Global Health Initiative (NPLD-GHI) was established to improve obstetric and neonatal outcomes in China, including through a reduction of CD through educational efforts. The purpose of this study was to determine whether a reduction in CD at a rural Chinese hospital occurred after NPLD-GHI. We hypothesized that a reduction in CD trend would be observed.