Bailit Jennifer L, Schulkin Jay, Dawson Neal V
Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Center for Health Care Research and Policy, MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio, USA.
J Reprod Med. 2007 Mar;52(3):194-8.
To determine which primary cesarean delivery risk factors are important to practicing physicians.
A sample of current members of the American College of Obstetrician Gynecologists were surveyed about the risk factors for primary cesarean delivery that they thought were most important. Data on demographic and practice characteristics were also collected. Sample size was determined by theoretical saturation.
Theoretical saturation was reach at 60 responses. A total of 290 surveys were returned. The 10 most common factors listed by physicians as preexisting patient risk factors for primary cesarean delivery were, in descending order of importance, medical problems, maternal obesity, macrosomic infant, malpresentation, multiple gestation, maternal age, Bishop score, patient's fear, preterm labor, and postdate pregnancy. Six of the 10 factors listed by respondents are in previously published risk-adjustment models.
Our study suggested that the addition of obesity and birth weight to previously published risk-adjustment models should improve representation of practicing obstetricians' views.
确定哪些剖宫产的主要风险因素对执业医师而言至关重要。
对美国妇产科医师学会的现任成员进行抽样调查，询问他们认为剖宫产最重要的风险因素。同时收集了人口统计学和执业特征的数据。样本量由理论饱和法确定。
收到60份回复时达到理论饱和。共收回290份调查问卷。医师列出的作为剖宫产患者原有风险因素的10个最常见因素，按重要性降序排列依次为：医疗问题、孕妇肥胖、巨大儿、胎位异常、多胎妊娠、产妇年龄、Bishop评分、患者恐惧、早产和过期妊娠。受访者列出的10个因素中有6个在先前发表的风险调整模型中出现过。
我们的研究表明，在先前发表的风险调整模型中加入肥胖和出生体重因素，应能更好地体现执业产科医师的观点。
