タンザニアのNjombe地区の選択された保健施設の女性における帝王切開の流行と決定因子

Jonhas Masatu^1,2,3, Ismail Habib⁴, Rogath Kishimba^4,5

¹School of Public Health and Social Sciences, Department of Epidemiology and Biostatistics (SPHSS), Muhimbili University of Health and Allied Sciences (MUHAS), Dar es salaam, Tanzania. masatu.jm@gmail.com.

Scientific reports

|August 29, 2025

まとめ

タンザニアの帝王切開率

科学分野:

産婦人科
公衆衛生
エピデミオロジー

背景:

医学的に必要な帝王切開は妊産婦と新生児の死亡率を減少させます
非表示CSは健康に重大なリスクをもたらす.
タンザニアのCS率は13%で,Njombeは2022年には29%で,WHOの勧告15%を超えています.

研究の目的:

タンザニアのニョンベの産後母親の間で帝王切開の発生率を調査する.
地域における高水準のCS提供に関連するリスク要因を特定する.

主な方法:

6つのニョンベの保健施設で567人の産後女性 (15歳~44歳) を対象とした施設ベースの横断的な研究.
Kobo Collect を使用した構造化アンケートで収集したデータです.
修飾されたポアソン回帰は,CS配信のリスク要因を分析するために使用されます.

主要な成果:

帝王切開の罹患率は45. 5%でした.
CSの確率が増加した要因には,単発性,初回の産前ケア (ANC) の遅延,母親の身長≤150cm,出生体重>4. 1kg,妊娠年齢≥43週間,および保健センターからの紹介が含まれています.
民間施設での配送は,CSの確率の非有意な増加を示した.

結論:

国内と世界の平均を大幅に上回っています.
証拠に基づいたCSの意思決定を促進し,産前ケアスケジュールを改善するために,緊急に標的を絞ったイニシアチブが必要である.
臨床基準の実施と妊産婦ケアにおける説明責任に焦点を当てた政策変更が推奨されています.

キーワード:

帝王切開母性について新生児出産後の女性

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