Abstract: Objective：Research continued measures to reduce the cesarean section rates under the premise of ensuring medical safety. Methods：Statistically analyzed all the delivery data from Maternal Health Care Management System of five midwifery organizations in Tanggu, Binhai New Area, Tianjin, from 2001 to 2013. Results：Cesarean section rate increased from 40.09% in 2001 to 53.81% (peak rate) in 2008, which was an increasing trend year by year. Undergoing health care, control weight gain during pregnancy and good technique traning, cesarean section rate decreased to 37.74 % in 2013. Cesarean section rate decreased year by year between 2008-2013 . Social factors ranked 6th in cesarean section indications, and gradually increased until 2008 ranked second, uterine scar ranked first in 2013. Conclusions：Processing pregnancy care and control weight gain, improving skills is the effective methods to decrease the rate of cesarean section. In the future, vaginal delivery after cesarean section will be effective prevention methods.

Key words: Cesarean section, Early intervention （education）, Vaginal birth after cesarean, Cesarean section indication