Coleman Victoria H, Lawrence Hal, Schulkin Jay
Research Department, The American College of Obstetricians and Gynecologists, Washington, DC 20024, USA. vhcoleman@ gmail.com
Obstet Gynecol Surv. 2009 Feb;64(2):115-9. doi: 10.1097/OGX.0b013e3181932dda.
Primary and repeat cesarean delivery rates have reached their highest levels both nationally and internationally, with 30.3% of live births in the United States being cesarean deliveries. Some cite the increase in cesarean delivery on maternal request (CDMR) as a contributing factor, although data have yet to confirm this. Concern about the rising number of cesareans performed, and the lack of clear knowledge about health outcomes for both mother and neonate as a result of this trend prompted the National Institute of Child Health and Human Development and the Office of Medical Applications of Research of the National Institutes of Health to convene a State-of-the-Science Conference on the topic of CDMR from March 27 to 29, 2006. Before this conference, a study was conducted by the American College of Obstetricians and Gynecologists to assess practice patterns and opinions related to CDMR among obstetrician-gynecologists. It was found that most obstetrician-gynecologists recognized an increased demand for CDMR in their practices. Conclusions from this study and the conference are reviewed along with more recent research on this topic.
在美国国内和国际上，初产妇剖宫产率和再次剖宫产率均已达到最高水平，美国30.3%的活产为剖宫产。尽管数据尚未证实，但有人认为产妇要求剖宫产（CDMR）数量的增加是一个促成因素。对剖宫产数量不断上升的担忧，以及由于这一趋势导致对母亲和新生儿健康结局缺乏明确认识，促使美国国立儿童健康与人类发展研究所和美国国立卫生研究院医学应用研究办公室于2006年3月27日至29日召开了一次关于产妇要求剖宫产主题的科学现状会议。在这次会议之前，美国妇产科医师学会进行了一项研究，以评估妇产科医生与产妇要求剖宫产相关的执业模式和观点。研究发现，大多数妇产科医生认识到他们的执业中对产妇要求剖宫产的需求有所增加。本文将回顾这项研究和会议的结论以及关于该主题的最新研究。
