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加纳剖腹产使用的决定因素:对2003-2022年DHS数据的趋势分析
1Department of Population and Health, University of Cape Coast, Cape Coast, Ghana.
PLOS global public health
|November 14, 2025
概括
加纳的剖腹产分娩率从2003年的4.4%升至2022年的20.1%. 这种增长与临床因素以及获得医疗保健,教育和财富的机会增加有关.
科学领域:
- 公共卫生 公共卫生
- 产科和妇科 产科和妇科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 全球剖腹产率正在上升,超过了世界卫生组织 (WHO) 的建议.
- 加纳面临越来越多的CS率,加之是医疗保健系统的挑战.
- 关于加纳使用全国代表性数据的长期CS趋势的研究有限.
研究的目的:
- 分析2003年至2022年加纳的CS交付趋势.
- 确定加纳CS的临床和非临床决定因素.
- 为适当的CS利用提供政策干预信息.
主要方法:
- 利用了来自加纳四项人口和健康调查 (2003,2008,2014,2022) 的数据.
- 员工加权描述统计和多层次物流回归.
- 分析了CS与诸如产前护理,教育,财富,出生大小,多胎,产妇年龄和居住地等因素之间的关联.
主要成果:
- 脊髓瘤的患病率显著增加,从4.4% (2003年) 增加到20.1% (2022年).
- 临床预测因素包括多胎儿和更大的出生大小.
- 非临床因素,如高等教育,财富增加,母亲年龄≥30岁,以及城市居住,与较高的CS概率有关.
结论:
- 在过去的二十年里,加纳经历了CS交付的急剧,系统性的增长.
- 临床和非临床因素,包括社会经济地位和获得医疗保健的机会,推动了这一增长.
- 政策应侧重于监测CS标志,确保公平获取,并防止不必要的程序.
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