Department of Health Management and Health Economics, University of Oslo, Oslo, Norway.
Am J Obstet Gynecol. 2011 Jul;205(1):45.e1-9. doi: 10.1016/j.ajog.2011.03.043. Epub 2011 Mar 26.
We sought to identify predictors of preferences for cesarean among pregnant women, and estimate how different predictors influence preferences.
This was a cross-sectional study based on the Norwegian Mother and Child Cohort Study (n = 58,881).
Of the study population, 6% preferred cesarean over vaginal delivery. While 2.4% of nulliparous had a strong preference for cesarean, the proportion among multiparous was 5.1%. The probability that a woman, absent potential predictors, would have a cesarean preference was similar (<2%) for both nulliparous or multiparous. In the presence of concurrent predictors such as previous cesarean, negative delivery experience, and fear of birth, the predicted probability of a cesarean request ranged from 20-75%.
The proportion of women with a strong preference for cesarean was higher among multiparous than nulliparous women, but the difference was attributable to factors such as previous cesarean or fear of delivery and not to parity per se.
我们旨在确定孕妇对剖宫产偏好的预测因素，并估计不同的预测因素如何影响偏好。
这是一项基于挪威母亲和儿童队列研究（n=58881）的横断面研究。
在研究人群中，6%的人更喜欢剖宫产而不是阴道分娩。虽然初产妇中有 2.4%强烈倾向于剖宫产，但经产妇的比例为 5.1%。在不存在潜在预测因素的情况下，初产妇和经产妇选择剖宫产的概率相似（<2%）。在存在同时存在的预测因素（如先前的剖宫产、负面分娩经历和对分娩的恐惧）的情况下，剖宫产请求的预测概率范围为 20-75%。
与初产妇相比，经产妇中强烈倾向于剖宫产的比例更高，但这种差异归因于先前的剖宫产或对分娩的恐惧等因素，而不是产次本身。
