关于HIV感染女性因产妇要求进行剖宫产的LILAC研究的二次分析。
A Secondary Analysis of the LILAC Study Regarding Cesarean Birth by Maternal Request in Women Living with HIV.
作者信息
Harrison Margo S
机构信息
Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Aurora, Colorado, USA.
出版信息
J Womens Health Dev. 2021 Jun 16;4(2):78-81. doi: 10.26502/fjwhd.2644-28840062.
BACKGROUND
Latin America has the highest regional average cesarean birth rates. One potential driver is cesarean birth by maternal request (CBMR).
METHODS
We analyzed of a large prospective cohort study of HIV-infected women in six Latin American countries.
RESULTS
Comparisons were made between women who chose CBMR (n = 38) and women with a medical indication for cesarean (n = 683). The only variable associated with CBMR was onset of labor (AOR 0.3 [0.1,0.9], p = 0.04).
CONSLUSION
Spontaneous labor reduced the likelihood of a woman living with HIV to pursue CBMR in a large Latin American cohort.
背景
拉丁美洲的地区平均剖宫产率最高。一个潜在驱动因素是产妇要求剖宫产（CBMR）。
方法
我们分析了一项对六个拉丁美洲国家感染艾滋病毒妇女的大型前瞻性队列研究。
结果
对选择CBMR的妇女（n = 38）和有剖宫产医学指征的妇女（n = 683）进行了比较。与CBMR相关的唯一变量是临产（调整后比值比0.3 [0.1,0.9]，p = 0.04）。
结论
在一个大型拉丁美洲队列中，自然临产降低了感染艾滋病毒妇女寻求CBMR的可能性。
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