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巴西剖腹产率的趋势 根据罗布森分类组,2014-2020年
Virginia Barbosa Pereira1, Síntia Nascimento Dos Reis1, Fernanda Gontijo Araújo1
1Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil.
Revista brasileira de enfermagem
|July 31, 2024
概括
私营部门的剖腹产率高于公共部门,尽管私营设施的下降和公共设施的增加. 高率甚至发生在罗布森组有利于正常分娩.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在全球范围内,剖腹产率是一个越来越令人担忧的问题.
- 罗布森分类系统将剖腹产分类,以监测趋势并确定需要干预的领域.
- 了解特定部门的趋势 (公共与私人) 对于有针对性的公共卫生战略至关重要.
研究的目的:
- 评估2014年至2020年剖腹产率的趋势.
- 为了比较公共和私人医疗保健部门之间的剖腹产趋势.
- 分析使用罗布森分类系统的趋势.
主要方法:
- 采用了一个时间序列研究设计.
- 分析了2014-2020年剖腹产的数据.
- 普莱斯-温斯顿回归被用于趋势分析,考虑罗布森分类和医疗保健部门.
主要成果:
- 与公共部门相比,在私营部门的所有罗布森集团中观察到更高的剖腹产比例.
- 私营部门显示下降趋势,而公共部门显示剖腹产的增加趋势.
- 罗布森组1,4和5的剖腹产率较高,通常有利于正常分娩.
结论:
- 尽管私营部门的趋势下降,但在公共部门的剖腹产率上升.
- 剖腹产的很大一部分发生在有利于正常分娩的妇女身上.
- 持续监测和有针对性的干预措施至关重要,以减少不必要的剖腹产.
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