加纳的剖腹产分娩及其相关因素:多层次分析
Werkneh Melkie Tilahun1, Mulat Belay Simegn1, Alegntaw Abate2
1Department of Public Health, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
PloS one
|February 12, 2025
概括
加纳的剖腹产率是一个公共卫生问题,超过世卫组织建议的20.29%. 诸如母亲年龄,教育,财富和妊娠并发症等因素显著影响CS分娩率.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 全球剖腹产率正在上升,往往超过理想的10-15%,没有明显的健康益处.
- 过度使用CS与增加的孕产妇和胎儿并发症有关,强调需要更好地了解分娩实践.
研究的目的:
- 为了确定加纳目前的剖腹产分娩率.
- 确定与加纳卫生机构女性CS交付相关的因素.
主要方法:
- 一项采用2022年加纳人口与健康调查 (DHS) 数据集的横截面研究.
- 分析了5231个加权样本,使用Stata.16与多层次逻辑回归.
- 使用调整的几率比率 (AOR) 和95%置信区间 (CI) 确定与CS相关的显著因素,p值<0.05.
主要成果:
- 加纳的CS分娩患病率为20.29% (95%CI:19.23-21.41%),超过了世卫组织的建议.
- 与CS相关的重要因素包括先进的孕产妇年龄 (25-34岁和35岁以上),高等教育水平,增加的财富,就业地位,初级阶级和第一个出生时的年龄.
- 其他重要因素包括多胎妊娠,大出生体型,高出生体重 (4-6公斤) 和居住在特定地区 (伏尔塔和博诺东部).
结论:
- 加纳的CS率是一个公共卫生问题,超过了以前的研究和世卫组织指南.
- 母亲年龄,教育程度,社会经济地位,性别平等,怀孕类型,出生大小,出生体重和地区与CS分娩有显著的关联.
- 实施审查和完善CS指示指南的策略对于改善交付实践和率至关重要.
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