埃及剖宫产率呈上升趋势。
Rising trends in cesarean section rates in Egypt.
作者信息
Khawaja Marwan, Jurdi Rozzet, Kabakian-Khasholian Tamar
机构信息
Center for Research on Population and Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
出版信息
Birth. 2004 Mar;31(1):12-6. doi: 10.1111/j.0730-7659.2004.0269.x.
BACKGROUND
Cesarean section rates have been increasing worldwide, but little research exists on trends of cesarean section delivery for any country in the Arab world. The purpose of this study was to document recent levels and trends of cesarean section rates in Egypt, and to estimate trends in cesarean section by type of hospital from three population-based national surveys.
METHODS
This descriptive study used merged data files from three nationally representative samples of ever-married women aged 15 to 49 years.
RESULTS
A significant rise in cesarean deliveries occurred for all births, from a low of 4.6 percent in 1992 to 10.3 percent in 2000. However, hospital-based cesarean deliveries were much higher in 1987-1988 (13.9%), increasing to 22.0 percent in 1999-2000. Although the cesarean section rate was slightly higher in private hospitals, the rate also increased consistently in public hospitals.
CONCLUSIONS
The high and unprecedented increase in cesarean section rates reported in this study may be partly due to cesarean sections that are not medically indicated, and suggest that physician practice patterns, financial incentives or other profitability factors, and patient preferences should be explored.
背景
剖宫产率在全球范围内一直在上升，但关于阿拉伯世界任何国家剖宫产分娩趋势的研究却很少。本研究的目的是记录埃及近期剖宫产率的水平和趋势，并根据三项基于人群的全国性调查估计不同类型医院的剖宫产趋势。
方法
这项描述性研究使用了来自三个具有全国代表性的15至49岁已婚妇女样本的合并数据文件。
结果
所有分娩的剖宫产率显著上升，从1992年的4.6%的低点升至2000年的10.3%。然而，1987 - 1988年基于医院的剖宫产率更高（13.9%），到1999 - 2000年增至22.0%。虽然私立医院的剖宫产率略高，但公立医院的剖宫产率也持续上升。
结论
本研究报告的剖宫产率前所未有的高增长可能部分归因于非医学指征的剖宫产，这表明应探究医生的执业模式、经济激励措施或其他盈利因素以及患者偏好。
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