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对剖腹产的社会经济风险因素的审查:基于人口的研究
Gamal Sayed1, Husam Salama2, Salah Abumhara3
1Department of Obstetrics and Gynecology. women's wellness and research center. Hamad Medical City Hamad Medical corporation WWRC. Gahmed5@hamad.qa.
Acta bio-medica : Atenei Parmensis
|June 16, 2023
概括
高等教育,就业,吸烟和住在租房中与剖腹产率的增加有关. 辅助生殖也提高了CS的概率,突出了社会经济对分娩方法的影响.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 由于复杂的多因素原因,剖腹产 (CS) 率在全球范围内不断上升.
- 了解社会经济因素对传递方法的影响对于公共卫生倡议至关重要.
研究的目的:
- 调查各种社会经济因素与剖腹产 (CS) 与阴道分娩 (VD) 的发生率之间的关联.
主要方法:
- 一项以人口为基础的回顾性队列研究分析了PEARL研究注册表中60,728例活产 (妊娠≥24周) 的数据.
- 研究的社会经济因素包括母亲的教育,就业,住房,父母的收入和生活方式选择,如吸烟和辅助受孕.
- 通过CS分娩的妇女和患有静脉疾病的妇女之间的结果进行了比较.
主要成果:
- 较高的母亲教育和就业状况与CS率的增加有关 (分别为0.73和1.40).
- 租住房的女性更有可能患有CS (OR 1.40),而20岁以上的女性则倾向于VD.
- 吸烟 (OR 1.87) 和辅助受孕 (OR 0.39) 与较高的CS率有显著的联系.
结论:
- 母亲的教育,就业,吸烟和住房状况是CS率的重要社会经济决定因素.
- 辅助生殖与剖腹产分娩的可能性更高有关.
- 定期的产前护理可能与更高的CS风险相关,可能是由于潜在的并发症.
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