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在COVID-19大流行期间剖腹产率增加:通过罗布森十组分类系统寻找原因
Cassia Elane Berbel da Silva1, Jose Paulo Siqueira Guida1, Maria Laura Costa1
1Departament of Gynecology and Obstetrics, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brazil.
概括
在COVID-19大流行期间,剖腹产率显著增加,主要是由于母亲的要求. 这项研究分析了在疫情期间使用罗布森十组分类系统 (RTGCS) 的剖腹产 (CS) 率,与前一年相比.
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:
- COVID-19大流行给全球医疗保健系统带来了前所未有的挑战.
- 孕产妇的护理和分娩实践可能受到与流行病有关的不确定性和恐惧的影响.
研究的目的:
- 在COVID-19流行病的第一波期间,使用罗布森十组分类系统 (RTGCS) 进行剖腹产 (CS) 率和指示的比较,与前一年相比.
- 在RTGCS中确定在疫情期间经历了CS率变化的特定群体.
主要方法:
- 一项横截面研究比较了2019年4月至10月 (大流行前) 和2020年3月至9月 (大流行后) 的分娩数据.
- 剖腹产和适应症使用RTGCS进行了分类.
- 记录了分娩路线 (阴道或CS).
- 统计比较使用了奇平方或费舍尔精确测试.
主要成果:
- 总共分析了2,493名妇女 (1,291名流行前,1202名流行后).
- 总体的CS比率从39.66%大幅增加到44.01% (p=0.028).
- 母亲的要求是主要的驱动因素,从9.58%增加到25.38% (p<0.01).
- 5组和2组对CS率的贡献最大;1组的比率下降,而2组的比率上升.
结论:
- 罗布森十组分类系统显示了大流行前和大流行期间之间的变化.
- 剖腹产率显著上升,主要是由于母亲的要求.
- 这些变化可能与流行病相关的因素有关,包括围绕COVID-19的恐惧和不确定性.
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