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罗布森在整个欧洲进行剖腹产的十组分类系统:系统审查和元分析
Viktoria El Radaf1, Letícia Nunes Campos2, Charles Savona-Ventura3
1Department of Obstetrics and Gynaecology, Lasarettet i Ystad, Ystad, Sweden.
European journal of obstetrics, gynecology, and reproductive biology
|December 20, 2024
概括
剖腹产率在欧洲各地有很大差异,南欧报告的比例最高. 以前的剖腹产是主要的驱动因素,突出了减少初级剖腹产率的战略的需要.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 围产期流行病学 围产期流行病学
背景情况:
- 剖腹产率显示,由于不同的医疗实践,文化规范和卫生政策,在全球范围内存在很大差异.
- 了解这些变化对于制定有针对性的策略来优化孕产妇和新生儿的结果至关重要.
- 本综述分析了使用罗布森10组分类系统在欧洲的CS利率差异.
研究的目的:
- 系统地审查和对欧洲各地区的剖腹产率进行元分析.
- 在区域和国家一级确定剖腹产使用的主要驱动因素.
- 为了比较使用罗布森分类系统的剖腹产率.
主要方法:
- 从2000年1月到2023年6月,在多个数据库 (MEDLINE/PubMed,CINAHL,EMBASE,Global Index Medicus,Web of Science,Cochrane Library) 中进行了全面的文献搜索.
- 研究包括欧洲地区的出生,不包括会议记录和非英语/瑞典语出版物.
- 分析了44项研究的数据,包括6,641,615例分娩.
主要成果:
- 在整个欧洲,剖腹产率有很大差异,从北欧的16.9%到南欧的43.6%.
- 罗布森集团5 (以前的CS) 是总体CS率的主要贡献者,特别是在南欧 (95.0%).
- 罗布森组6 (无,形) 主要导致CS,不同地区的比例在88.8%至92.5%之间.
结论:
- 在整个欧洲,剖腹产率的显著差异仍然存在,南方地区的比例最高,北方地区的最低.
- 以前的剖腹产和部呈现是影响整体剖腹产率的关键因素.
- 制定特定区域的战略对于缓解整个欧洲剖腹产率上升的趋势至关重要.
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