在撒哈拉以南非洲,剖腹产对母亲的指示率:系统性审查
A Dumont1, L de Bernis, M H Bouvier-Colle
1Epidemiological Research Unit on Women and Children's Health, National Institute of Health and Medical Research (INSERM), Paris, France. adumont@sentoo.sn
Lancet (London, England)
|October 31, 2001
概括
在西非,估计需要剖腹产的比例为3.6-6.5%,远高于观察到的1.3%的比例. 这突显了孕产妇医疗干预措施中的关键差距.
科学领域:
- 产科和妇科 产科和妇科
- 全球健康 全球健康
- 孕产妇健康 孕产妇健康
背景情况:
- 剖腹产率在全球范围内不断上升,各国之间存在很大差异.
- 目前对剖腹产的估计主要是基于发达国家的数据.
- 来自不发达国家的数据对于验证目前的剖腹产估计至关重要.
研究的目的:
- 为了估计西非人口中剖腹产的孕产妇指示.
- 用不太发达地区的数据验证现有的剖腹产率估计.
主要方法:
- 使用来自西非MOMA调查的产科风险数据计算了预期的剖腹产率.
- 从已出版的文献中纳入率,以确定估计的剖腹产需求.
主要成果:
- 在西非妇女中观察到的剖腹产率为1.3%.
- 该研究表明,估计需要剖腹产的比例在3.6%至6.5%,中位数为5.4%.
- 剖腹产的关键症状包括分娩时间长,胎盘断裂,先前的剖腹产,黄昏症,胎盘前期和表现不良.
结论:
- 开发的方法虽然不完全准确,但提供了一个简单的方法来估计撒哈拉以南非洲的剖腹产需求.
- 调查结果可以为决策者和卫生规划者在设计和监测计划中提供信息,以实现最佳的剖腹产率.
- 将这种方法应用于医院数据可以提高该地区从业人员的评估.
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