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本文引用的文献

1
A Paradigm Shift to Check the Increasing Trend of Cesarean Delivery is the Need of Hour: But How?转变剖宫产率上升趋势的范式转变迫在眉睫：但如何实现呢？
J Obstet Gynaecol India. 2012 Aug;62(4):391-7. doi: 10.1007/s13224-012-0288-8. Epub 2012 Oct 16.
2
Increasing caesarean section rates among low-risk groups: a panel study classifying deliveries according to Robson at a university hospital in Tanzania.提高低危人群剖宫产率：坦桑尼亚某大学医院按照 Robson 分类法对分娩进行分组的面板研究。
BMC Pregnancy Childbirth. 2013 May 8;13:107. doi: 10.1186/1471-2393-13-107.
3
Changing trends of cesarean section births by the Robson Ten Group Classification in a tertiary teaching hospital.三级教学医院中按罗伯逊十组分类的剖宫产分娩变化趋势。
Acta Obstet Gynecol Scand. 2012 Dec;91(12):1422-7. doi: 10.1111/j.1600-0412.2012.01529.x. Epub 2012 Oct 17.
4
Indications contributing to the increasing cesarean delivery rate.导致剖宫产率升高的指征。
Obstet Gynecol. 2011 Jul;118(1):29-38. doi: 10.1097/AOG.0b013e31821e5f65.
5
Epidemiology and trends for Caesarean section births in New South Wales, Australia: a population-based study.澳大利亚新南威尔士州剖宫产分娩的流行病学和趋势：一项基于人群的研究。
BMC Pregnancy Childbirth. 2011 Jan 20;11:8. doi: 10.1186/1471-2393-11-8.
6
Advanced maternal age and the risk of cesarean birth: a systematic review.高龄产妇与剖宫产分娩风险：系统评价。
Birth. 2010 Sep;37(3):219-26. doi: 10.1111/j.1523-536X.2010.00409.x.
7
Trends in indications for caesarean sections over 7 years in a Welsh district general hospital.威尔士一家地区综合医院7年来剖宫产指征的变化趋势。
J Obstet Gynaecol. 2009 Nov;29(8):714-7. doi: 10.3109/01443610903191269.
8
[Increased rate of Caesarean sections--causes and consequences].
Tidsskr Nor Laegeforen. 2009 Jun 25;129(13):1329-31. doi: 10.4045/tidsskr.08.0453.
9
Cesarean delivery rates in Saudi Arabia: a ten-year review.沙特阿拉伯的剖宫产率：十年回顾。
Ann Saudi Med. 2009 May-Jun;29(3):179-83. doi: 10.4103/0256-4947.51773.
10
[Comparison of indications for cesarean section in 1985-86 and 2000-01. Analysis of changes].1985 - 1986年与2000 - 2001年剖宫产指征的比较。变化分析
Ginekol Pol. 2004 Dec;75(12):926-31.

剖宫产的趋势：比率与指征

Trends in cesarean delivery: rate and indications.

作者信息

Mittal Shiba, Pardeshi Sachin, Mayadeo Niranjan, Mane Janki

机构信息

Seth G.S. Medical College & K.E.M. Hospital, 602/3-C, Samrudhhi CHS, Vaishali Nagar, K.K. Marg, Jacob Circle, Mahalaxmi (East), Mumbai, 400011 India.

出版信息

J Obstet Gynaecol India. 2014 Aug;64(4):251-4. doi: 10.1007/s13224-013-0491-2. Epub 2014 Jan 3.

DOI:10.1007/s13224-013-0491-2
PMID:25136169
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4126949/
Abstract

OBJECTIVES

To compare the cesarean delivery rates over the last decade and to examine the indications contributing to changed trends, if any.

METHODS

To compare the rate and indications of cesarean delivery over the last decade, the data were collected in a retrospective manner from all the deliveries that occurred between January 1 and December 31 in 2001, 2006, and 2011, in the department of obstetrics and gynecology, Seth G.S. Medical College and K.E.M. Hospital, a large tertiary care municipal hospital in Western India. A cohort of 20853 delivered women was studied. The rates and indications of primary and repeat cesarean sections were analyzed among the live births to estimate the relative contribution of each indication to the overall increase in rate.

RESULTS

The cesarean delivery rate increased from 171.70 to 289.30 per 1,000 live births, with an increase in primary cesarean delivery rate from 118.53 (69.03 %) in 2001 to 210.09 (72.62 %) in 2011 per 1,000 live births. Fetal distress, arrest of descent, multiple gestations, and fetal indications contributed to this increase.

CONCLUSIONS

There is a significant increase in the total cesarean rate with primary cesarean accounting for most of the increase.

摘要

目的

比较过去十年间剖宫产率，并探究导致趋势变化的指征（如有）。

方法

为比较过去十年间剖宫产率及指征，以回顾性方式收集了印度西部一家大型三级护理市级医院——塞思G.S.医学院及K.E.M.医院妇产科在2001年、2006年和2011年1月1日至12月31日期间所有分娩的数据。对20853名分娩女性进行了研究。分析了活产中初次剖宫产和再次剖宫产的率及指征，以估算各指征对总体剖宫产率上升的相对贡献。

结果

剖宫产率从每1000例活产171.70例增至289.30例，初次剖宫产率从2001年每1000例活产118.53例（69.03%）增至2011年的210.09例（72.62%）。胎儿窘迫、产程停滞、多胎妊娠及胎儿相关指征导致了这一增长。

结论

剖宫产总率显著上升，初次剖宫产的增加占大部分。