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剖宫产:描述性流行病学。剖宫产指征频率的增加

[Cesarean section: descriptive epidemiology. Increase in frequency of indications for cesarean section].

作者信息

Cerrone L, Basevi V

机构信息

Unità di Epidemiologia e Medicina di Comunità, Università di Padova.

出版信息

Epidemiol Prev. 1992 Mar;14(50):20-8.

PMID:1297591
Abstract

The use of caesarean section is constantly increasing in all countries of the western world. This article considers various aspects of the phenomenon, from the most frequent justifications for the increase in caesarean sections, to the consequences of this practise on the health of the mother and of the fetus/newborn infant. The often-suggested link between the increase in the number of caesarean births and the decrease of the perinatal mortality rate is also discussed. The caesarean section is potentially capable of offering large benefits, but at the same time is not without risk for the mother and the child. In order to reduce this risk meticulous attention must be paid to the anesthesiological and surgical techniques employed and surgery must be used only when absolutely necessary.

摘要

在西方世界的所有国家,剖宫产的使用一直在增加。本文探讨了这一现象的各个方面,从剖宫产增加最常见的理由,到这种做法对母亲和胎儿/新生儿健康的影响。还讨论了剖宫产分娩数量增加与围产期死亡率下降之间经常被提及的联系。剖宫产有可能带来巨大益处,但同时对母亲和孩子也并非没有风险。为了降低这种风险,必须密切关注所采用的麻醉和手术技术,并且仅在绝对必要时才进行手术。

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