Institute of Community and Public Health, Birzeit University, Ramallah, West Bank, Occupied Palestinian Territory.
East Mediterr Health J. 2009 Jul-Aug;15(4):868-79.
This study investigated the rising rate of caesarean section (CS) deliveries between 1993 and 2002 (9.4% to 14.4%) and associated factors, including indications for CS and sociodemographic and clinical characteristics based on the register of a major Palestinian teaching hospital. Instrumental deliveries declined from 12.6% to 4.4%. Fetal distress decreased as an indication for CS, while previous CS and breech presentations contributed to the increase. Decision-making for CS needs to frame the benefits and risks of the intervention within the context of women's entire reproductive life-cycle and existing standards of care, avoiding unnecessary and costly CS deliveries to reduce iatrogenic complications and conserve resources.
本研究调查了 1993 年至 2002 年期间剖宫产率（CS）的上升情况（从 9.4%上升至 14.4%）以及相关因素，包括基于一家主要巴勒斯坦教学医院的登记处的剖宫产指征以及社会人口学和临床特征。器械分娩从 12.6%下降至 4.4%。胎儿窘迫作为剖宫产的指征减少，而先前的剖宫产和臀位则导致剖宫产率上升。CS 的决策需要在女性整个生殖生命周期和现有护理标准的背景下考虑干预的益处和风险，避免不必要和昂贵的 CS 分娩，以减少医源性并发症并节约资源。
