Center for International Health at Ludwig-Maximilians-University, Munich, Germany.
The Faculty of Medicine and Pharmacy, The University of Da Nang, Da Nang, Vietnam.
Acta Paediatr. 2018 Dec;107(12):2109-2114. doi: 10.1111/apa.14376. Epub 2018 May 23.
The aim of this study was to estimate the prevalence of Caesarean sections in the third largest city in Vietnam and identify the associated risk factors.
This descriptive study was conducted in Da Nang from April 2015 to March 2016 and the hospital-based sample comprised 20 535 women who delivered during this period. Caesarean section cases were categorised into private and public hospitals and groups of primiparous and multiparous women.
We recruited 10 of the 12 hospitals in the City and they covered 90% of births during the study period. The overall Caesarean section rate was 58.6%: 57.9% in public hospitals and 70.6% in private hospitals. The three main indications for Caesarean sections were previous Caesarean sections, cephalopelvic disproportion and foetal distress. The factors that increased the likelihood of Caesarean sections were the mother being over 30, having an office job, a history of abortions, having a male infant and a higher neonatal birth weight.
Our study demonstrated an extremely high rate of Caesarean section and associated factors in public and private hospitals in one of the biggest cities in Vietnam. The findings highlight the need for monitoring and interventions to reduce the Caesarean section rates.
本研究旨在评估越南第三大城市剖宫产的流行率，并确定相关的危险因素。
本描述性研究于 2015 年 4 月至 2016 年 3 月在岘港进行，采用基于医院的样本，包括在此期间分娩的 20535 名妇女。剖宫产病例分为私营医院和公立医院以及初产妇和经产妇两组。
我们招募了该市 12 家医院中的 10 家，这些医院覆盖了研究期间 90%的分娩。总体剖宫产率为 58.6%：公立医院为 57.9%，私立医院为 70.6%。剖宫产的三个主要指征是既往剖宫产、头盆不称和胎儿窘迫。增加剖宫产可能性的因素包括母亲年龄超过 30 岁、有办公室工作、流产史、分娩男婴和新生儿出生体重较高。
我们的研究表明，在越南最大城市之一的公立和私立医院中，剖宫产率及其相关因素极高。研究结果强调需要监测和干预措施来降低剖宫产率。
