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影响先前剖腹产产生的分娩方式的母亲因素
Yun Mi Kim1, Myung Hee Kim1, Kyohyun Kim1
1Eulji University College of Nursing, Korea.
Korean journal of women health nursing
|September 12, 2023
概括
该研究发现,只有5.1%的先前剖腹产的母亲选择了剖腹产后阴道分娩 (VBAC). 年龄,城市居住和更高收入等因素与更高的VBAC率有关.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康研究研究
- 生殖医学 生殖医学
背景情况:
- 在全球范围内,剖腹产率有所增加.
- 以前的剖腹产是影响后续分娩方式的重要因素.
- 剖腹产后阴道分娩 (VBAC) 对许多女性来说是一个可行的选择,但它的吸收程度各不相同.
研究的目的:
- 研究先前通过剖腹产分娩的母亲的分娩方式.
- 确定与先前剖腹产后分娩选择相关的孕产妇因素.
主要方法:
- 对60,504名有剖腹产史的母亲的大队伍的分析.
- 将变量分为社会人口统计学 (年龄,居住地,保险,收入) 和临床因素 (母亲,胎儿,早产状态) 的分类.
- 使用千二测试和多变量逻辑回归的统计分析.
主要成果:
- 总体VBAC率为5.1% (在60,504名母亲中3,075名).
- 随着母亲的年龄增加到34岁,VBAC的发病率增加,城市居民的发病率更高.
- 收入较高的母亲更有可能尝试VBAC.
- 孕产妇和胎儿因素与重复剖腹产的可能性增加有关.
结论:
- 低的VBAC率凸显了需要改进支持和政策的需要.
- 基于证据的护理指南和教育计划对于促进VBAC至关重要.
- 应该制定健康政策,鼓励和促进符合条件的母亲的VBAC.
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