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Updated: Jun 3, 2025

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按母亲的要求进行剖腹产的种族和民族趋势
Celeste A Swain1,2, Meredith C Anderson3, Aida Shirazi4
1Department of Obstetrics & Gynecology, Kaiser San Francisco, San Francisco, CA, USA. celeste.arden.swain@gmail.com.
Journal of racial and ethnic health disparities
|January 8, 2025
概括
与其他种族和族群相比,非西班牙裔白人在母亲的要求下进行剖腹产 (CDMR) 的比例更高. 这项研究突出了选择性剖腹产分娩决策中的显著种族差异.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 健康差距 研究 研究 研究 研究
背景情况:
- 在美国,孕产妇产科结果的种族差异得到了充分的记录.
- 非西班牙裔黑人面临更高的剖腹产分娩率和并发症.
- 了解在母亲的要求下选择性剖腹产 (CDMR) 的种族差异至关重要.
研究的目的:
- 为了调查CDMR率的种族和种族差异.
- 分析CDMR率在零分娩,产期,单子,顶部呈现 (NTSV) 剖腹产中.
主要方法:
- 对NTSV剖腹产 (2016-2020) 的回顾性队列研究.
- 主要结果:CDMR. 主要预测因素:母亲的种族和种族.
- 多变量后勤回归分析了种族/种族,CDMR和其他因素之间的关联.
主要成果:
- 在12,351个NTSV剖腹产中,4.81%是CDMR.
- 非西班牙裔白人个体显示CDMR的几率增加.
- 与非西班牙裔白人个人相比,在多个种族/美国印第安人/阿拉斯加本土人,亚洲人/夏威夷人/太平洋岛民,黑人和西班牙裔个人中观察到较低的CDMR几率.
结论:
- 非西班牙裔白人比亚洲/夏威夷/太平洋岛民,黑人和西班牙裔个人更频繁地接受CDMR.
- 这些发现与整体剖腹产分娩率形成鲜明对比,白人分娩率较低.
- 突出了选择性剖腹产分娩决策中的显著种族差异.
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