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约旦产科医生对分娩方式的个人偏好。

Jordanian obstetricians' personal preference regarding mode of delivery.

作者信息

Lataifeh Isam, Zayed Faheem, Al-Kuran Oqba, Al-Mehaisen Lama, Khriesat Wadah, Khader Yousef

机构信息

Department of Obstetrics and Gynecology, Jordan University of Science and Technology, Irbid, Jordan.

出版信息

Acta Obstet Gynecol Scand. 2009;88(6):733-6. doi: 10.1080/00016340902842444.

Abstract

The personal preference of Jordanian obstetricians regarding mode of delivery in uncomplicated pregnancy with singleton cephalic presentation at term was surveyed by an anonymous structured questionnaire distributed at five conferences/scientific meetings on obstetrics and gynecology held in Jordan in 2007. The response rate was 70% (n=315), and 22 (7%) of the respondents chose elective cesarean section (CS). Respondents <45 years seemed to be more in favor of elective CS than those >or=55 years (14.1% vs. 3.7%). In multivariate analysis, increased age was inversely associated with the odds of choosing elective CS (OR = 0.93, 95% CI: 0.88-0.99, p=0.024) after adjusting for gender, sector, and duration of practice. The main reasons for preferring abdominal delivery were the fear of long-term sequel (stress incontinence and anal sphincter damage) and the wish to preserve sexual function (86.4 and 50.0%, respectively). The majority of Jordanian obstetricians and gynecologists preferred vaginal delivery in uncomplicated pregnancy for themselves or their wives.

摘要

2007年,通过在约旦举行的五次妇产科会议/科学会议上分发的一份匿名结构化问卷,对约旦产科医生在足月单胎头位无并发症妊娠时的分娩方式个人偏好进行了调查。回复率为70%(n = 315),22名(7%)受访者选择了选择性剖宫产(CS)。年龄小于45岁的受访者似乎比年龄大于或等于55岁的受访者更倾向于选择性剖宫产(14.1%对3.7%)。在多变量分析中,在调整了性别、部门和执业年限后,年龄增长与选择选择性剖宫产的几率呈负相关(OR = 0.93,95%CI:0.88 - 0.99,p = 0.024)。选择经腹分娩的主要原因是担心长期后遗症(压力性尿失禁和肛门括约肌损伤)以及希望保留性功能(分别为86.4%和50.0%)。大多数约旦妇产科医生在无并发症妊娠时,更倾向于自己或妻子进行阴道分娩。

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