Webster L A, Daling J R, McFarlane C, Ashley D, Warren C W
Information Resources Management Office, Centers for Disease Control, Atlanta, Georgia.
J Biosoc Sci. 1992 Oct;24(4):515-25. doi: 10.1017/s0021932000020071.
The prevalence and determinants of primary caesarean section in Jamaica were estimated from a survey of women aged 14-49 years. Among 2328 women reporting 2395 live hospital births during the period January 1984 to May 1989, the prevalence of caesarean section was 4.1%. Repeat caesarean sections accounted for 1.3% of the hospital births during that period. Of the medical complications studied, prolonged labour and/or cephalopelvic disproportion carried the highest risks of primary caesarean section, followed by breech presentation, maternal diabetes, a high birth-weight baby, maternal hypertension, and a low birth-weight baby. The risk of primary caesarean section increased with maternal age, decreased with parity, was higher for urban than for rural residents, and was higher for births in private versus government hospitals.
通过对14至49岁女性的调查，估算了牙买加剖宫产的患病率及其决定因素。在1984年1月至1989年5月期间报告有2395例活产住院分娩的2328名女性中，剖宫产患病率为4.1%。在此期间，再次剖宫产占住院分娩的1.3%。在所研究的医学并发症中，产程延长和/或头盆不称导致剖宫产的风险最高，其次是臀位、母亲糖尿病、高体重儿、母亲高血压和低体重儿。剖宫产的风险随母亲年龄增加而升高，随产次增加而降低，城市居民高于农村居民，私立医院分娩高于公立医院。
