Schneider H, Hänggi W, Marques L
Universitätsfrauenklinik, Bern.
Geburtshilfe Frauenheilkd. 1990 Sep;50(9):710-6. doi: 10.1055/s-2008-1026349.
Between 1985-87, the total rate of Caesarean sections at the Universitäts-Frauenklinik, Bern, was considerably higher than at the "Kantonales Spital Sursee" (21.1% vs. 8%). A method to analyse the patient population according to parameters, which are likely to influence the section rate, such as birth weight, parity, foetal position, multiple births and placental pathology, is described. After correction for differences in patient population in the two hospitals, the difference in the section rate was reduced to 12% vs. 8%. Whilst the major part of the higher section rate in the University Department could be explained by the greater proportion of patients with an elevated risk for Caesarean delivery, a residual difference remains. Possible explanations for this difference in the section rate between the two hospitals are discussed.
1985年至1987年间，伯尔尼大学妇产科的剖宫产总比率显著高于苏尔塞州立医院（分别为21.1%和8%）。本文描述了一种根据可能影响剖宫产率的参数（如出生体重、产次、胎位、多胎妊娠和胎盘病理）来分析患者群体的方法。在对两家医院患者群体差异进行校正后，剖宫产率的差异降至12%对8%。虽然大学科室较高的剖宫产率大部分可归因于剖宫产分娩风险较高的患者比例更大，但仍存在残余差异。本文讨论了两家医院剖宫产率存在这种差异的可能原因。
