剖腹产使用和差异的全球流行病学
在PubMed上查看摘要
概括
此摘要是机器生成的。在2000年至2015年间,剖腹产产量在全球几乎翻了一番,区域和国家差异很大. 医疗机构和医疗机构内部使用的增加,以及获得和应用的差异推动了这一增长.
科学领域
- 全球健康
- 产科和妇科
- 医疗服务研究
背景情况
- 剖腹产的发生率在全球显著增加.
- 了解CS使用的趋势,决定因素和不平等对母婴健康至关重要.
- 之前的研究强调区域差异,但需要全面的全球数据.
研究的目的
- 描述剖腹产使用的全球,区域和国家频率,趋势,决定因素和不平等情况.
- 分析导致全球CS出生率上升的因素.
- 确定不同社会经济群体和地理位置的CS利用差异.
主要方法
- 分析来自169个国家的数据,占全球出生率的98.4%.
- 估计2000年和2015年的CS使用情况,并计算不确定性间隔.
- 检查设施出生率和设施内CS率等因素.
- 评估国家和国家内部CS使用的差异,包括社会经济地位和设施类型.
主要成果
- 全球CS出生人数从2000年的1600万 (12.1%) 增加到2015年的2970万 (21.1%).
- 在西非和中部地区的使用率很大,从4.1%到拉丁美洲和加勒比地区的44.3%.
- 医疗保健机构的出生率增加 (66.5%) 和医疗保健机构内的出生率增加 (33.5%).
- 从南苏丹的0.6%到多米尼加共和国的58.1%存在显著的国家差异.
- 国内差异很大,富裕的五分之一,低风险分娩 (尤其是受过教育的妇女) 和私人机构的分娩率更高.
结论
- 全球剖腹产使用量几乎翻了一番,
- 在CS获取和利用方面,区域,国家和国家内部存在巨大的不平等.
- 解决差异和了解CS使用的特定环境驱动因素对于公平的孕产妇保健至关重要.
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