在公立三级医院的剖腹产率的分析,在教学和非教学期间使用罗布森十组分类系统
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Sepideh Rezaei Ghamsari1, Elham Taeidi2, Fatemeh Darsareh2
1Department of Midwifery and Reproductive Health, Tehran University of Medical Sciences, Tehran, IRN.
Cureus
|September 22, 2023
概括
在医院的教学期间,剖腹产率比其非教学期间增加了7%. 减少CS的努力应针对罗布森组2,5和10.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
背景情况:
- 剖腹产率的上升是一个全球性的健康问题.
- 医院教学地位是影响CS率变化的潜在因素.
- 了解这些变化对于开发有针对性的干预措施至关重要.
研究的目的:
- 为了评估在教学期间与非教学期间的第三级医院剖腹产 (CS) 率.
- 使用罗布森十组分类系统分析CS率.
- 确定特定的罗布森群体对CS率做出最重要的贡献.
主要方法:
- 在班达尔阿巴斯的一家三级医院对出生者的回顾性队列研究.
- 在教学期间 (2019年11月 - 2020年10月) 和非教学期间 (2021年11月 - 2020年10月) 之间的CS率的比较.
- 从伊朗母亲和新生儿网络 (IMaN Net) 提取的数据,使用电子患者记录.
主要成果:
- 总共分析了8382例分娩;其中62.9%发生在教学期间.
- 在教学期间观察到CS在统计学上显著增加了7% (p<0.01).
- 罗布森组1,2,4,5,7和10显示了期间间的CS率的显著差异;组2,5和10是总体CS的主要贡献者.
结论:
- 该研究表明,在医院的教学期间,CS率更高.
- 建议针对罗布森组2,5和10进行旨在降低整体CS率的干预.
- 对影响教学医院CS率的因素进行进一步的研究是有必要的.
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