产科医生的性别与产妇要求剖宫产的可能性

Obstetrician gender and the likelihood of performing a maternal request for a cesarean delivery.

作者信息

Liu Tsai-Ching, Lin Herng-Ching, Chen Chin-Shyan, Lee Hsin-Chien

机构信息

Department of Public Finance, National Taipei University, Taipei, Taiwan.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2008 Jan;136(1):46-52. doi: 10.1016/j.ejogrb.2007.02.007. Epub 2007 Mar 26.

DOI:10.1016/j.ejogrb.2007.02.007

PMID:17383794

Abstract

OBJECTIVE

To examine the relationship between obstetrician gender and the likelihood of maternal request for cesarean section (CS) within different healthcare institutions (medical centers, regional hospitals, district hospitals, and obstetric and gynecology clinics).

STUDY DESIGN

Five years of population-based data from Taiwan covering 857,920 singleton deliveries without a clinical indication for a CS were subjected to a multiple logistic regression to examine the association between obstetrician gender and the likelihood of maternal request for a CS.

RESULTS

After adjusting for physician and institutional characteristics, it was found that male obstetricians were more likely to perform a requested CS than female obstetricians in district hospitals (OR=1.53) and clinics (OR=2.26), while obstetrician gender had no discernible associations with the likelihood of a CS upon maternal request in medical centers and regional hospitals.

CONCLUSIONS

While obstetrician gender had the greatest association with delivery mode decisions in the lowest obstetric care units, those associations were diluted in higher-level healthcare institutions.

摘要