CEDES: Centro de Estudios de Estado y Sociedad, Buenos Aires, Argentina.
Consejo Nacional de Investigaciones Científicas y Técnicas, CONICET/CEDES: Centro de Estudios de Estado Y Sociedad, Buenos Aires, Argentina.
Reprod Health. 2021 Jan 26;18(1):23. doi: 10.1186/s12978-021-01080-4.
While cesarean section is an essential life-saving strategy for women and newborns, its current overuse constitutes a global problem. The aim of this formative research is to collect information from hospitals, health professionals and women regarding the use of cesarean section in Argentina. This article describes the methodology of the study, the characteristics of the hospitals and the profile of the participants.
This formative research is a mixed-method study that will be conducted in seven provinces of Argentina. The eligibility criteria for the hospitals are (a) use of the Perinatal Information System, (b) cesarean section rate higher than 27% in 2016, (c) ≥ 1000 deliveries per year. Quantitative and qualitative research techniques will be used for data collection and analysis. The main inquiry points are the determining factors for the use of cesarean section, the potential interventions to optimize the use of cesarean section and, in the case of women, their preferred type of delivery.
It is expected that the findings will provide a situation diagnosis to help a context-sensitive implementation of the interventions recommended by the World Health Organization to optimize cesarean section use. Trial registration IS002316 Cesarean section is an essential medical tool for mothers and their children, but nowadays its overuse is a problem worldwide. Our purpose is to get information from hospitals, health professionals and women about how cesarean section is used in Argentina. In this protocol we describe how we will carry out the study and the characteristics of the hospitals and participants. We will implement this study in seven provinces of Argentina, in hospitals that have more than 1,000 births each year, had a cesarean section rate higher than 27% in 2016 and use the Perinatal Information System. We will gather information using forms, surveys and interviews. We want to identify the factors that decide the use of a cesarean section, the potential interventions that can improve the use of cesarean section and, in the case of women, the type of delivery they prefer. We expect that this study will give us a diagnosis of how cesarean section is used in Argentina, and that this will help to apply the interventions that the World Health Organization recommends to optimize the use of cesarean section in our specific context.
剖宫产术是保障母婴生命安全的重要手段，但目前其过度应用已成为全球性问题。本研究旨在收集阿根廷医院、卫生专业人员和妇女对剖宫产术应用的相关信息。本文介绍了研究方法、医院特征和参与者特征。
本研究是一项混合方法研究，将在阿根廷的 7 个省份开展。纳入医院的标准为：（a）使用围产儿信息系统；（b）2016 年剖宫产率高于 27%；（c）每年分娩量≥1000 例。将采用定量和定性研究技术收集和分析数据。主要调查点是剖宫产术应用的决定因素、优化剖宫产术应用的潜在干预措施，以及针对妇女的首选分娩方式。
研究结果将提供现状诊断，以帮助在实施世界卫生组织推荐的干预措施时，充分考虑当地情况，优化剖宫产术的应用。
IS002316 剖宫产术是母婴健康的重要医疗手段，但目前其过度应用已成为全球性问题。本研究旨在收集阿根廷医院、卫生专业人员和妇女对剖宫产术应用的相关信息。本文介绍了研究方法、医院特征和参与者特征。我们将在阿根廷的 7 个省份开展研究，纳入每年分娩量超过 1000 例、2016 年剖宫产率高于 27%且使用围产儿信息系统的医院。我们将通过表格、问卷调查和访谈等方式收集信息。我们希望确定决定剖宫产术应用的因素、可改善剖宫产术应用的潜在干预措施，以及妇女对分娩方式的偏好。我们预计本研究将为我们提供阿根廷剖宫产术应用现状的诊断，并有助于在特定背景下实施世界卫生组织推荐的优化剖宫产术应用的干预措施。
