Backe Bjørn, Heggestad Torhild, Lie Thomas
Institutt for laboratoriemedisin, barne- og kvinnesykdommer, Norges teknisk-naturvitenskapelige universitet.
Tidsskr Nor Laegeforen. 2003 May 29;123(11):1522-4.
Women's right to decide on the mode of delivery is discussed, as well as the management of term breech deliveries. Obstetric practice may have changed as a consequence of ongoing debates. National caesarean section rates were stable at 12-13% during the 1990s, but no information has been provided about the development over the last two years.
Information about deliveries in obstetrical units in Norway, 1999 to 2002, was extracted from the Norwegian Patient Register. The number of deliveries was validated against information from Statistics Norway. The numbers of caesarean sections in 1999 and 2000 were validated against information from the Medical Birth Registry of Norway.
The caesarean section rate increased slightly from 12.8% in 1999 to 13.0% in 2000. In 2001, there was a considerable increase to 14.9%; during the first 8 months of 2002, the rate was 15.1%. The change in practice appeared in the last months of 2000, coinciding with the publication of the term breech trial. However, only about one third of the increase can be attributed to a change in breech delivery. COMMENTS. Caesarean section is the most frequent major surgical procedure performed on hospitalised patients. In times of rapid changes in obstetric practice, monitoring of the development without time delay is called for.
讨论了女性决定分娩方式的权利以及足月臀位分娩的处理。持续的争论可能导致了产科实践的变化。20世纪90年代，全国剖宫产率稳定在12% - 13%，但未提供过去两年的发展情况。
从挪威患者登记处提取了1999年至2002年挪威产科单位分娩的信息。根据挪威统计局的信息对分娩数量进行了验证。1999年和2000年的剖宫产数量根据挪威医疗出生登记处的信息进行了验证。
剖宫产率从1999年的12.8%略有上升至2000年的13.0%。2001年，大幅上升至14.9%；在2002年的前8个月，该比率为15.1%。实践的变化出现在2000年的最后几个月，与足月臀位试验的发表时间一致。然而，增加的部分中只有约三分之一可归因于臀位分娩方式的改变。评论：剖宫产是对住院患者进行的最常见的大型外科手术。在产科实践快速变化的时期，需要及时监测其发展情况。
