Mancuso A, De Vivo A, Fanara G, Albiero A, Priolo A M, Giacobbe A, Franchi M
Department of Gynecological, Obstetrical Sciences and Reproductive Medicine, University of Messina, Italy.
J Obstet Gynaecol. 2008 May;28(4):382-5. doi: 10.1080/01443610802091545.
We aimed to evaluate regional differences in women's motivations and in obstetricians' attitudes re 'caesarean section on request' between obstetricians practicing in Southern and Northern Italy. An anonymous questionnaire was sent to 70 randomly selected specialists practicing in the Veneto region and Sicily. Demographic characteristics, percentage of caesarean section, increase of caesarean section on demand, maternal motivations and the role played by anxiety, relatives and instrumental examinations were analysed. Moreover, obstetricians' opinion and their behaviour in fulfilling, or not, the maternal request were evaluated. Among the emotional reasons, fear of pain was more frequently reported in Sicily (p = 0.045), and previous negative experiences and gestational anxiety in the Veneto region (p = 0.009; p = 0.001). As regards instrumental examinations influencing maternal request, a significant difference was found for ultrasonography (28% in Sicily vs 60% in Veneto, p = 0.002). The husband's role was more frequently reported in the Veneto region (p = 0.006). Obstetricians of both regions noticed a rising rate of caesarean section on maternal request. The reasons for this upward trend are complex, vary from one region to another and are influenced by local socio-cultural and healthcare background.
我们旨在评估意大利南部和北部的产科医生在“产妇要求剖宫产”方面，女性动机及产科医生态度的地区差异。向随机挑选的70名在威尼托地区和西西里岛执业的专家发送了一份匿名问卷。分析了人口统计学特征、剖宫产百分比、按需剖宫产的增加情况、产妇动机以及焦虑、亲属和器械检查所起的作用。此外，还评估了产科医生对于满足或不满足产妇要求的意见及行为。在情感原因方面，西西里岛更常报告对疼痛的恐惧（p = 0.045），而威尼托地区则更常报告既往负面经历和孕期焦虑（p = 0.009；p = 0.001）。在影响产妇要求的器械检查方面，超声检查存在显著差异（西西里岛为28%，威尼托地区为60%，p = 0.002）。威尼托地区更常提及丈夫的作用（p = 0.006）。两个地区的产科医生都注意到产妇要求剖宫产的比例在上升。这种上升趋势的原因很复杂，因地区而异，并受当地社会文化和医疗背景的影响。
