Mulchandani Ranya, Power Harvinder Singh, Cavallaro Francesca L
Polygeia, Global Health Student Think Tank, London, United Kingdom.
Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom.
J Obstet Gynaecol. 2020 Jan;40(1):1-9. doi: 10.1080/01443615.2019.1587603. Epub 2019 Jun 17.
Caesarean section (CS) rates have risen worldwide in the past two decades, particularly in middle and high-income countries. In addition to changing maternal and health system factors, there is growing evidence that provider factors may contribute to rising unnecessary caesareans. The aim of this review was to assess the evidence for the association between individual provider characteristics, attitudes towards CS and decision-making for CS. A search was conducted in May 2018 in PubMed and Web of Science with 23 papers included in our final review. Our results show that higher anxiety scores and more favourable opinions of CS were associated with increased likelihood of performing CS. These findings highlight a need for appropriate interventions to target provider attitudes towards CS to reduce unnecessary procedures.
在过去二十年中，全球剖宫产率都有所上升，尤其是在中高收入国家。除了孕产妇和卫生系统因素的变化外，越来越多的证据表明，医疗服务提供者的因素可能导致不必要剖宫产率上升。本综述的目的是评估个体医疗服务提供者特征、对剖宫产的态度与剖宫产决策之间关联的证据。2018年5月在PubMed和科学网进行了检索，最终纳入综述的有23篇论文。我们的结果表明，焦虑得分较高以及对剖宫产的看法更积极与进行剖宫产的可能性增加有关。这些发现凸显了针对医疗服务提供者对剖宫产的态度采取适当干预措施以减少不必要手术的必要性。
