Anderson G M, Lomas J
Health Policy Research Unit, University of British Columbia, Vancouver.
CMAJ. 1989 Nov 15;141(10):1049-53.
After increasing steadily for 15 years the cesarean section rate in Ontario stabilized at 20.2 per 100 deliveries in the fiscal years 1986-87 and 1987-88. An important factor in the stabilization was a decrease in the rate of repeat section. The diagnosis and management of dystocia and fetal distress continue to put upward pressure on the cesarean section rate, which is higher than would be expected if recent practice guidelines had been fully implemented. There is a need for further research into the appropriate management of labour and delivery and into more targeted techniques for bringing practice into line with appropriate standards of care.
在连续15年稳步上升之后，安大略省的剖宫产率在1986 - 1987财政年度和1987 - 1988财政年度稳定在每100例分娩20.2例。稳定的一个重要因素是再次剖宫产率的下降。难产和胎儿窘迫的诊断与处理继续给剖宫产率带来上行压力，该剖宫产率高于如果最近的实践指南得到充分实施时的预期。有必要进一步研究分娩的适当管理以及使实践符合适当护理标准的更具针对性的技术。
