Walędziak Maciej, Różańska-Walędziak Anna
Department of General, Oncological, Metabolic and Thoracic Surgery, Military Institute of Medicine-National Research Institute, Szaserów 128 St., 04-141 Warsaw, Poland.
Department of Human Physiology and Pathophysiology, Faculty of Medicine, Collegium Medicum, Cardinal Stefan Wyszynski University in Warsaw, 01-938 Warsaw, Poland.
J Clin Med. 2022 Dec 6;11(23):7234. doi: 10.3390/jcm11237234.
Introduction: The ratio of cesarean deliveries (CDs) has been increasing worldwide, with a growing problem of cesarean delivery on maternal request (CDMR) and an alarmingly increasing rate of CD in the private sector. There are numerous factors influencing women’s preferences for the mode of delivery and their opinion about shared decision making (SDM). Material and method: The study was designed as an online survey, filled in by 1040 women. The questionnaire included questions about women’s preferences for the mode of delivery, their opinions about CDMR and the process of decision making regarding the mode of delivery. Results: There were no statistically significant differences found between women with a BMI ≤ 25 kg/m2 and >25 kg/m2, nor with a BMI ≤ 30 kg/m2 and >30 kg/m2, on the subject of the preferred method of delivery, and the opinion regarding SDM and CDMR without medical indications. More than 85% of women in all groups, who preferred CD as the mode of delivery, wanted to have CDMR. Conclusion: We have not found obesity and overweight to be a factor influencing women’s preferred mode of delivery, their opinion about SDM and their preference for CDMR without medical indications. However, the sample size of women with morbid obesity with a BMI ≥ 35 kg/m2 was too small for the results to be considered significant in this group, and it will therefore be subject to further studies.
剖宫产率在全球范围内一直在上升，产妇要求剖宫产（CDMR）的问题日益严重，私立部门的剖宫产率更是惊人地增长。有许多因素影响着女性对分娩方式的偏好以及她们对共同决策（SDM）的看法。材料与方法：本研究设计为一项在线调查，由1040名女性填写。问卷包括关于女性对分娩方式的偏好、她们对CDMR的看法以及分娩方式决策过程的问题。结果：在分娩首选方式、关于无医学指征的SDM和CDMR的看法方面，体重指数（BMI）≤25 kg/m²和>25 kg/m²的女性之间，以及BMI≤30 kg/m²和>30 kg/m²的女性之间，均未发现统计学上的显著差异。所有组中，超过85%倾向于剖宫产作为分娩方式的女性希望进行CDMR。结论：我们未发现肥胖和超重是影响女性首选分娩方式、她们对SDM看法以及对无医学指征的CDMR偏好的因素。然而，BMI≥35 kg/m²的病态肥胖女性样本量过小，无法认为该组结果具有显著性，因此将进行进一步研究。
