[应产妇要求剖宫产：匈牙利东南部妇产科医生调查]
[Cesarean delivery on maternal request: survey among obstetricians/gynecologists in south-east Hungary].
作者信息
Dweik Diána, Szimjanovszki Irma, Mészáros Gyula, Pál Attila
机构信息
Szegedi Tudományegyetem, Általános Orvostudományi Kar, Szent-Györgyi Albert Klinikai Központ Szülészeti és Nőgyógyászati Klinika Szeged Semmelweis u. 1. 6725.
出版信息
Orv Hetil. 2013 Aug 18;154(33):1303-11. doi: 10.1556/OH.2013.29682.
INTRODUCTION
increased frequency of maternal request for cesarean delivery may be a contributing factor to the rising cesarean section rate in Hungary, although there is no formal indication that would allow Hungarian obstetricians to perform this procedure legally. Thus, it is difficult to estimate the role of maternal request in the rising cesarean rate.
AIM
The aim of the authors was to assess the attitudes of obstetricians toward this procedure.
METHOD
In early 2010 anonymous questionnaires were distributed to each of the 137 obstetricians working in the maternity wards of counties Bács-Kiskun, Békés and Csongrád, with a response rate of 74.5% (n = 102).
RESULTS
More than half of the respondents refused the possibility of a legalized indication for this procedure in Hungary; however, in case it was legalized, 81 (79.4%) obstetricians would feel ready to perform it.
CONCLUSIONS
The resistance of more than half of the obstetricians to an explicit indication for the procedure is in conflict with the theoretical willingness of the majority of them to perform it.
引言
产妇要求剖宫产的频率增加可能是匈牙利剖宫产率上升的一个促成因素，尽管没有正式的指征允许匈牙利产科医生合法地实施该手术。因此，很难估计产妇要求在剖宫产率上升中所起的作用。
目的
作者的目的是评估产科医生对该手术的态度。
方法
2010年初，向在巴奇-基什孔、贝凯什和琼格拉德州产妇病房工作的137名产科医生每人发放了匿名问卷，回复率为74.5%（n = 102）。
结果
超过一半的受访者拒绝在匈牙利将该手术的指征合法化；然而，如果将其合法化，81名（79.4%）产科医生会觉得准备好实施该手术。
结论
超过一半的产科医生对该手术明确指征的抵触与他们大多数人实施该手术的理论意愿相冲突。
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