越南中部的表皮切割实践和相关因素
Hoang Thi Nam Giang1, Do Thi Thuy Duy1, Thanh-Huyen T Vu2
1The University of Danang, School of Medicine and Pharmacy, Danang, Vietnam.
PloS one
|February 25, 2026
概括
尽管有严格的指导方针,但越南中部的表皮切割率仍然非常高,特别是在第一次母亲中,尽管有限制性指导方针. 诸如第一次分娩和流产史等因素与表皮切除术的使用增加有关,这表明单独的政策是不够的.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 临床实践指南 临床实践指南
背景情况:
- 越南的表皮切除术实践存在有限的研究.
- 本研究探讨了越南中部在指导方针实施后的表皮切除术使用和相关因素.
研究的目的:
- 为了描述表皮切开术利用率.
- 在中央越南的阴道分娩期间确定与表皮切除相关的孕产妇和新生儿因素.
主要方法:
- 在丹阳妇女和儿童医院进行的回顾性医院研究 (2015年4月至2016年3月).
- 包括单子,满期的阴道分娩.
- 多变量逻辑回归分析了与表皮切割相关的因素.
主要成果:
- 高表皮切割率:79.8% 在3,471名新生儿中.
- 在第一次分娩 (97.7%) 和后续分娩 (61.5%) 中的比率显著更高.
- 皮切割的相关因素:第一次分娩,高出生体重,较年轻的母亲年龄,不那么活跃的职业,流产史.
结论:
- 尽管世界卫生组织和卫生部的建议,但越南中部仍然存在非常高的表皮切割率,特别是在初婚妇女中.
- 可修改的孕产妇和新生儿因素影响了多胎妇女的表皮切除术的使用.
- 限制性政策在一年后没有显著影响,这表明需要额外的干预措施.
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