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在哈立德国王大学医院不同诊所就诊的沙特女性中剖宫产分娩的患病率及其相关因素

The Prevalence of C-Section Delivery and Its Associated Factors Among Saudi Women Attending Different Clinics of King Khalid University Hospital.

作者信息

Alabdullah Hanan A, Ismael Lina, Alshehri Lina A, Alqahtani Sadeem, Alomari Munerah, Alammar Asma, Ahamed Shaik Shaffi

机构信息

Family & Community Medicine, College of Medicine, King Saud University, Riyadh, SAU.

出版信息

Cureus. 2021 Jan 18;13(1):e12774. doi: 10.7759/cureus.12774.

Abstract

Objective Cesarean section (C-section) is one of the most common surgical procedures worldwide that may be performed to deliver one or more newborns. The objective of our study was to determine the prevalence of C-section delivery among Saudi women attending different clinics of King Khalid University Hospital (KKUH) who were pregnant, previously pregnant, and had delivered. Methods A quantitative observational cross-sectional study using a self-administered questionnaire that has been handed to the participants after explaining the purpose of the study. A total of 524 pregnant and non-pregnant women were enrolled in the study randomly collected from all female clinics of KKUH. The study sample were given a self-administered questionnaire. Data were analyzed using the Statistical Package for Social Sciences (SPSS), version 21 (IBM SPSS Statistics, Armonk, NY) to analyze the data. Results Of the 524 study participants, 32.6% underwent C-section. There was a statistical significance in women aged 23 years old, as well as teachers, in relation to undergoing C-section (p-values = 0.0001 and 0.044, respectively). We concluded that malpresentation is the most common medical indication, with an overall percentage of 25%. There was no evident statistical association between body mass index (BMI), the highest level of education, marital status, Income status, mode of delivery, and the number of normal births or stillbirths. Conclusion It was found that the prevalence of Saudi women attending KKUH who underwent C-section was 32.6%. Medical indications to undergo C-sections, in comparison to the non-medical ones, were higher. Malpresentation was the most common medical indication, with an overall percentage of 25%.

摘要

目的 剖宫产是全球最常见的外科手术之一,可用于分娩一个或多个新生儿。我们研究的目的是确定在哈利德国王大学医院(KKUH)不同科室就诊的沙特孕妇、既往孕妇及已分娩妇女中剖宫产的发生率。方法 采用定量观察性横断面研究,在向参与者解释研究目的后,使用自行填写的问卷。从KKUH所有女性科室随机收集了524名孕妇和非孕妇参与研究。研究样本被给予一份自行填写的问卷。使用社会科学统计软件包(SPSS)21版(IBM SPSS Statistics,纽约州阿蒙克)分析数据。结果 在524名研究参与者中,32.6%接受了剖宫产。23岁的女性以及教师在接受剖宫产方面存在统计学意义(p值分别为0.0001和0.044)。我们得出结论,胎位异常是最常见的医学指征,总体比例为25%。体重指数(BMI)、最高学历、婚姻状况、收入状况、分娩方式以及顺产或死产的数量之间没有明显的统计学关联。结论 发现就诊于KKUH的沙特女性中接受剖宫产的发生率为32.6%。与非医学指征相比,接受剖宫产的医学指征更高。胎位异常是最常见的医学指征,总体比例为25%。

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