Zhang L, Zhang L, Li M, et al. - The intent of this study was to investigate whether a multifaceted intervention would decrease the cesarean section (CS) rate in China. Between 2015 and 2017, researchers performed a cluster-randomized field trial with a multifaceted intervention in Shanghai, China. This study randomized a total of 20 hospitals into an intervention or a control group. They randomly selected 10,752 and 10,521 deliveries from the pre-intervention period and the post-intervention period respectively. In Shanghai, China, a multifaceted intervention including more targeted prenatal health education, increased hospital CS policy, and training of midwives/doulas did not significantly decrease the CS rate. Nevertheless, the experience in performing a multifaceted intervention may provide beneficial information to other similar areas with high CS use.