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孕妇中剖腹产的偏好和相关因素:一项横截面研究
Jasmina Begum1, Subarna Mitra1
1Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Bhubaneswar, India.
Journal of family & reproductive health
|June 12, 2024
概括
剖腹产的偏好受焦虑,试管婴儿怀孕和之前的剖腹产等因素的影响. 妊娠年龄和教育的增加减少了这种偏好,突出了对分娩决策的复杂影响.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 生殖医学 生殖医学
背景情况:
- 剖腹产是一种常见的分娩方法,在全球范围内,分娩率越来越高.
- 母亲的要求,对分娩的恐惧和以前的经历都导致了剖腹产率的上升.
- 了解影响分娩方式偏好的因素对于产妇护理至关重要.
研究的目的:
- 评估孕妇对剖腹产的偏好.
- 调查与倾向于剖腹产分娩相关的因素.
主要方法:
- 一项基于医院的横截面研究包括368名妊娠36周以上的产前母亲.
- 通过社会人口统计学,病史和分娩偏好调查问卷收集的数据.
- 单变量和多变量分析确定了与剖腹产偏好的独立变量.
主要成果:
- 30.9%的人更喜欢剖腹产,54.6%的人更喜欢阴道分娩,14.4%的人是中性的.
- 诸如先前剖腹产,试管婴儿怀孕和并发症等因素增加了剖腹产的偏好.
- 焦虑/抑郁症,试管婴儿和先前的剖腹产独立地提高了几率;更高的妊娠年龄和教育减少了它们.
结论:
- 剖腹产产率是由医疗,文化,社会经济和医疗保健系统因素决定的.
- 虽然在医学上是必要的,但避免不必要的剖腹产对于最佳结果至关重要.
- 权衡风险/收益,促进基于证据的实践,是母亲和婴儿福祉的关键.
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