解释城市尼泊尔剖腹产率上升的原因:一项混合方法研究
Sulochana Dhakal Rai1, Edwin van Teijlingen1, Pramod R Regmi1
1Bournemouth University, Bournemouth, United Kingdom.
PloS one
|February 26, 2025
概括
尼泊尔剖腹产率的上升是由医疗,社会人口,金融和服务相关因素推动的. 合理化CS使用的策略包括改善资源,提高意识,改革政策和促进生理分娩.
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:
- 尼泊尔城市医院的剖腹产率正在增加.
- 这种增长的根本原因尚不清楚,需要进一步调查.
研究的目的:
- 探索导致两个城市尼泊尔医院CS率升级的因素.
- 确定合理利用剖腹产的策略.
主要方法:
- 在加德满都的一家公立和一家私立医院进行的2021年横截面混合方法研究.
- 对661个出生记录 (2018/19) 的定量分析和对14名卫生专业人员,5名关键信息员和4个重点小组的采访进行了定性分析.
主要成果:
- 整体CS率为50.2%,私人医院率 (68.5%) 几乎是公立医院率 (37.1%) 的两倍.
- 确定的关键因素包括以前的CS,母亲的要求,晚年母亲的年龄,医院类型和缺乏资源. 罗布森组5,1,2,3和6是主要的贡献者.
- 确定的策略包括加强劳动支持资源,提高对分娩风险/益处的认识,改革CS政策,促进生理分娩.
结论:
- 高的CS率,特别是在私立医院,意味着分娩的医疗化,这引起了公众健康的关注.
- 解决CS率上升的多因素驱动因素需要全面的战略,以便在城市医疗保健环境中合理使用.
相关概念视频
Regression Toward the Mean
6.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K
Current Trends in Nursing II
2.0K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
2.0K
Methods Of Healthcare Delivery System
3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K
Issues And Trends In Healthcare Delivery System
6.5K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.5K


