妇女剖腹产偏好:在低收入和中等收入国家进行了多国横截面调查
Camille Etcheverry1, Ana Pilar Betrán2, Myriam de Loenzien1
1CEPED, Institute for Research on Sustainable Development, IRD-Université de Paris, ERL INSERM SAGESUD, Campus Saint-Germain-des-Prés, 45 rue des Saints-Pères, Paris 75006, France.
Midwifery
|March 23, 2024
概括
大多数妇女更喜欢阴道分娩,即使是在剖腹产率高的医院里. 害怕分娩疼痛和医生的影响驱动剖腹产偏好,表明需要更好的患者支持和教育.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 全球健康 全球健康
背景情况:
- 在全球范围内,剖腹产的高率引发了人们对过度使用的担忧.
- 了解女性对分娩方式的偏好对于明智的决策至关重要.
- 影响CS偏好的因素需要调查,特别是在不同的医疗保健环境中.
研究的目的:
- 确定在高CS率医院中更喜欢CS的女性比例.
- 确定与CS偏好相关的母性特征和因素.
- 探索对妇女关于分娩方式的决定的影响.
主要方法:
- 在阿根廷,泰国,越南和布基纳法索的32家医院进行了横截面的,基于医院的分娩后调查.
- 包括1,979名产后妇女,没有医疗指示的CS.
- 多级多变量逻辑回归和探针模型分析CS偏好决定因素.
主要成果:
- 总体的CS比率为23.3%.
- 9%的女性表示偏好选择了CS,因国家而异 (布基纳法索的1.8%,泰国的17.8%).
- 原发性妇女更可能喜欢CS (p=0.04);害怕疼痛和医生的影响是关键因素.
结论:
- 大多数女性更喜欢阴道分娩,即使在CS率高的环境中.
- 害怕分娩疼痛和医生的影响是CS偏好的重要驱动因素.
- 干预措施应侧重于基于证据的信息,疼痛管理支持,并解决医生影响,以减少不必要的CS.
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