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1992年至2016年爱沙尼亚和芬兰的剖腹产趋势:基于注册表的研究

Kaire Sildver^1,2, Piret Veerus^3,4, Katrin Lang²

¹Department of Midwifery, Tallinn Health Care College, Tallinn, Estonia.

Acta obstetricia et gynecologica Scandinavica

|June 22, 2023

概括

剖腹产率在爱沙尼亚显著增加,但在芬兰在1992-2016年间的最低水平. 将罗布森组进行比较有助于理解CS率的差异,并提高产科护理质量.

科学领域:

产科和妇科产科和妇科
公共卫生公共卫生
流行病学流行病学

背景情况:

在全球范围内,剖腹产 (CS) 率稳步上升.
推动这些增长的因素尚未完全理解.
对各国之间的CS趋势进行比较分析可以提供见解.

研究的目的:

分析和比较1992年至2016年爱沙尼亚和芬兰的剖腹产趋势.
调查两国在特定罗布森组 (R1,R2,R5) 中的CS率的差异.

主要方法:

利用爱沙尼亚 (n=356,063) 和芬兰 (n=1,437,234) 国家医疗出生登记处的数据.
使用后勤回归来分析五年期间的总CS率和罗布森群率 (R1,R2,R5).
为各种因素调整的CS率,包括出生体重,平价,以前的CS,妊娠年龄和孕妇年龄.

主要成果:

爱沙尼亚的CS比例从6.5%上升到21.0%,而芬兰的比例从15.1%上升到16.8% (1992-2016).
2016年,两国都实现了罗布森组R1+2 (爱沙尼亚18%,芬兰16%) 和R5 (爱沙尼亚59%,芬兰42%) 的目标值.

结论:

对不同国家的罗布森组进行比较分析对于了解不同的CS率有价值.
这种方法可以有助于提高全球围产和产科护理的质量.

关键词:

爱沙尼亚爱沙尼亚爱沙尼亚芬兰芬兰芬兰芬兰罗布森的标准罗布森的标准剖腹产是一个剖腹产.基于注册表的数据是基于注册表的数据.

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