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2015年至2019年欧洲剖腹产率的趋势使用罗布森的十组分类系统:一项欧洲-Peristat研究
Melissa Amyx1, Marianne Philibert1, Alex Farr2
1Université de Paris Cité, Épidémiologie Obstétricale, Périnatale et Pédiatrique (EPOPé), Centre de Recherche Épidémiologie et Statistiques Sorbonne Paris Cité (CRESS), INSERM U1153, INRA, Paris, France.
BJOG : an international journal of obstetrics and gynaecology
|October 1, 2023
概括
在2015-2019年期间,剖腹产率在28个欧洲国家各不相同. 罗布森十组分类系统揭示了不同的趋势,突出了减少没有临床适应症的剂量机会.
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:
- 剖腹产率在国际上有很大的差异.
- 了解趋势和促成因素对于公共卫生倡议至关重要.
研究的目的:
- 分析从2015年到2019年在28个欧洲国家中CS率的变化.
- 应用罗布森十组分类系统 (TGCS) 来识别导致CS率趋势的产科人口.
主要方法:
- 一项使用来自28个欧洲国家的常规出生登记数据的观察性研究.
- 分析2015年和2019年怀孕22周以上的出生情况.
- 使用TGCS进行数据聚合和分析的联合模型的应用.
主要成果:
- 在2015年,CS率从16.0%到55.9%,在2019年,从16.0%到52.2%,在不同国家有不同的趋势.
- 劳动诱导 (TGCS组2a,4a) 增加,而多胎妊娠 (组8) 减少.
- 在CS率上升的国家,特定群体,如无产自发分娩 (第一组) 和诱导分娩,对这一增长做出了重大贡献.
结论:
- 该TGCS有效地说明了欧洲的各种CS趋势和率.
- 对具有不同CS趋势的国家进行比较分析可以为减少CS率的策略提供信息.
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