Carpenter M W, Soule D, Yates W T, Meeker C I
Obstet Gynecol. 1987 Oct;70(4):657-62.
Nonmedical factors affecting obstetric decisions regarding abnormal labor were investigated in Maine, a rural state. Obstetricians were questioned about practice structure, hospital services, anesthesia support, and legal liability. Cesarean section rates specific for abnormal labor, based on hospital discharge summaries in the previous two years, correlated inversely with improved night coverage support, 24-hour blood bank availability, and more adequate anesthesia services. Neither the payment differential between vaginal and cesarean delivery nor previous legal liability were associated with increased cesarean rates for abnormal labor. We conclude that improved ancillary services may lead to lower dystocia-specific cesarean section rates.
在缅因州这个乡村州，对影响难产产科决策的非医学因素进行了调查。产科医生被问及执业结构、医院服务、麻醉支持和法律责任。根据前两年的医院出院总结，难产特定的剖宫产率与改善的夜间覆盖支持、24小时血库可用性以及更充足的麻醉服务呈负相关。阴道分娩和剖宫产之间的支付差异以及既往法律责任均与难产剖宫产率增加无关。我们得出结论，改善辅助服务可能会降低难产特定的剖宫产率。
