[医学信息与患者选择。对足月单胎臀位分娩的影响]
[Medical information and patients' choices. Influences on term singleton breech deliveries].
作者信息
Delotte J, Schumacker-Blay C, Bafghi A, Lehmann P, Bongain A
机构信息
Service de gynécologie-obstétrique, reproduction et médecine foetale, hôpital Archet-II, CHU de Nice, 151, route Saint-Antoine-de-Ginestière, BP 3079, 06202 Nice cedex 03, France.
出版信息
Gynecol Obstet Fertil. 2007 Sep;35(9):747-50. doi: 10.1016/j.gyobfe.2007.05.019. Epub 2007 Aug 14.
OBJECTIVE
The mode of delivery of term singleton breech presentation has been argued for decades. Many elements are responsible for the current increase in the rate of elective cesarean delivery. Among these elements, the influence of medical information and patients' choices are unknown.
PATIENTS AND METHODS
We studied retrospectively, between January 1996 and December 2005, the mode of term breech delivery in a French maternity.
RESULTS
Medical information relates primarily to the complications of vaginal birth. Patient's request for an elective Cesarean has been in constant increase since 1996.
DISCUSSION AND CONCLUSION
Medical information and patients' choices strongly influence the practice of breech delivery.
目的
足月单胎臀位分娩方式的争论已持续数十年。当前选择性剖宫产率上升有多种因素。在这些因素中，医疗信息和患者选择的影响尚不清楚。
患者与方法
我们回顾性研究了1996年1月至2005年12月间法国一家妇产医院的足月臀位分娩方式。
结果
医疗信息主要涉及阴道分娩的并发症。自1996年以来，患者要求选择性剖宫产的比例持续上升。
讨论与结论
医疗信息和患者选择对臀位分娩的实施有很大影响。
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