Hainer F, Kowalcek I
Interdisziplinäres Forschungsinstitut für Frauengesundheit, Frauengesundheitszentrum, Lübeck.
Z Geburtshilfe Neonatol. 2011 Feb;215(1):35-40. doi: 10.1055/s-0031-1271743. Epub 2011 Feb 23.
The Cesarean section rate continues to increase across the developed nations since there are still a number possible reasons for this development including medical and non-clinical indications. The aim of this study was to analyse how pregnant women themselves think about Cesarean section and vaginal delivery, and which mode of delivery they prefer.
Pregnant women booked for prenatal diagnosis at the University Hospital Schleswig-Holstein, Campus Lübeck between October 2004 and January 2005 were invited to participate in the study. 534 pregnant women completed a questionnaire on their method of choice for delivery and selected background variables.
Women favour a natural birth and place high importance on the criteria physiology, active birth experience and personal assistance. Characteristics of the Cesarean section that were viewed negatively include surgery and pain.
The rise in Cesarean section rates cannot be explained by the patients' preferences. In terms of patient autonomy, obstetricians should respect a woman's wish for vaginal delivery, avoiding medical intervention if clinically possible.
自发达国家剖宫产率持续上升以来，导致这种情况的原因有很多，包括医学和非临床指征。本研究的目的是分析孕妇自身对剖宫产和阴道分娩的看法，以及她们更喜欢哪种分娩方式。
邀请2004年10月至2005年1月期间在吕贝克校区石勒苏益格-荷尔斯泰因大学医院预约进行产前诊断的孕妇参与研究。534名孕妇完成了一份关于她们选择的分娩方式和所选背景变量的问卷。
女性倾向于自然分娩，并高度重视生理、积极分娩体验和个人协助等标准。剖宫产被负面看待的特征包括手术和疼痛。
剖宫产率的上升无法用患者的偏好来解释。就患者自主权而言，产科医生应尊重女性阴道分娩的意愿，在临床可行的情况下避免医疗干预。
