与在大学附属医院行初次剖宫产相关的因素。
Factors Associated with the Chance of Carrying out a Primary Cesarean in a University Hospital.
机构信息
Postgraduate Program in Health Sciences: Gynecology and Obstetrics, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.
Department of Gynecology and Obstetrics, Faculty of Medicine (FAMED), Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.
出版信息
Rev Bras Ginecol Obstet. 2022 Jul;44(7):640-645. doi: 10.1055/s-0042-1748976. Epub 2022 Jun 6.
OBJECTIVE
The present study seeks to identify the associated factors that increased primary cesarean delivery rates.
METHODS
This was a cross-sectional study that evaluated the number of primary cesarean sections performed in the years 2006 and 2018 at the Hospital de Clínicas de Porto Alegre (HCPA, in the Portuguese acronym), through the collection of data from the medical records of the patients.
RESULTS
Advanced maternal age, twin pregnancy, and higher body mass index (BMI) became more frequent in 2018 in comparison with 2006. To mitigate the impact of confounding in comparisons among groups, we made an adjustment by propensity scores and detected significant differences when comparing both age groups on twin pregnancy rates, gestational diabetes mellitus, and thyroid disease.
CONCLUSION
Data from the present study can be used to prevent and improve the management of morbidities, impacting on better outcomes in obstetrical practice.
目的
本研究旨在确定导致剖宫产率升高的相关因素。
方法
这是一项横断面研究，通过收集 2006 年和 2018 年在阿雷格里港临床医院（HCPA）的患者病历数据，评估了这两年间行剖宫产术的例数。
结果
与 2006 年相比，2018 年产妇年龄较大、双胞胎妊娠和更高的体重指数（BMI）更为常见。为了减轻组间比较中混杂因素的影响，我们通过倾向评分进行了调整，并在比较两个年龄组时发现了双胞胎妊娠率、妊娠期糖尿病和甲状腺疾病方面的显著差异。
结论
本研究的数据可用于预防和改善并发症的管理，从而改善产科实践中的结局。
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