Department of Obstetrics and Gynaecology and Affiliate Investigator at the Ottawa Hospital Research Institute, University of Ottawa, Ontario, Canada.
Birth. 2010 Mar;37(1):44-9. doi: 10.1111/j.1523-536X.2009.00377.x.
Many publications have examined the reasons behind the rising cesarean delivery rate around the world. Women's responses to the Maternity Experiences Survey of the Canadian Perinatal Surveillance System were examined to explore correlates of having a cesarean section on other experiences surrounding labor, birth, mother-infant contact, and breastfeeding.
A randomly selected sample of 8,244 estimated eligible women stratified primarily by province and territory was drawn from the May 2006 Canadian Census. Completed responses were obtained from 6,421 women (78%).
Three-quarters of the women (73.7%) gave birth vaginally and 26.3 percent by cesarean section, including 13.5 percent with a planned cesarean and 12.8 percent with an unplanned cesarean. In addition to more interventions in labor, women who had a cesarean birth after attempting a vaginal birth had less mother-infant contact after birth and less optimal breastfeeding practices.
Findings from the Maternity Experiences Survey indicated that women who have cesarean births experience more interventions during labor and birth and have less optimal birthing and early parenting outcomes.
许多出版物研究了全球剖宫产率上升的原因。本研究通过对加拿大围产期监测系统产妇体验调查的女性回应进行分析，以探索剖宫产与分娩、母婴接触和母乳喂养等其他体验相关的因素。
从 2006 年 5 月的加拿大人口普查中，随机抽取了一个由 8244 名估计符合条件的女性组成的样本，主要按省份和地区分层。共获得了 6421 名女性（78%）的完整回复。
四分之三的女性（73.7%）阴道分娩，26.3%剖宫产，其中 13.5%为计划性剖宫产，12.8%为非计划性剖宫产。与阴道分娩相比，尝试阴道分娩后行剖宫产的女性在分娩和产后的母婴接触更少，母乳喂养的实践也不够理想。
产妇体验调查的结果表明，剖宫产的女性在分娩和产后经历了更多的干预，分娩和早期育儿的结果也不够理想。
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