初产妇剖宫产现状：一项描述性横断面研究。

Primary Caesarean Section among Multiparous Pregnant Women Visiting a Tertiary Care Centre: A Descriptive Cross-sectional Study.

机构信息

Department of Obstetrics and Gynaecology, National Medical College and Teaching Hospital, Bhediyahi, Birgunj, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2022 Oct 1;60(254):848-852. doi: 10.31729/jnma.7532.

DOI:10.31729/jnma.7532

PMID:36705161

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9924930/

Abstract

INTRODUCTION

Caesarean section is one of the most common obstetric operations performed. Primary caesarean section in multiparous women means the first caesarean section done in the multiparity who had previously delivered vaginally. This study aimed to find out the prevalence of primary caesarean section among multiparous pregnant women visiting a tertiary care centre.

METHODS

A descriptive cross-sectional study was conducted among multiparous women in a tertiary care centre from 15 June 2020 to 14 June 2021. Ethical approval was obtained from the Institutional Review Committee (Registration number: F-NMC/420/075/076). Demographic data were collected using predesigned proforma in parous women who had a previous vaginal delivery. A convenience sampling method was used. Point estimate and 95% Confidence Interval were calculated.

RESULTS

Among 1158 multiparity, primary caesarean section was found in 155 (13.39%) (11.43-15.35, 95% Confidence Interval). Most women 62 (40%) belong to 21-25 years and the majority were second gravida 51 (32.90%). The emergency caesarean section was done in 149 (96.12%). Indications for primary caesarean section were fetal distress 63 (40.63%), non-progress of labour and breech 12 (7.74%). Post-operative complications were uneventful in 110 (70.96%) cases.

CONCLUSIONS

The prevalence of primary caesarean section in multiparous women was found to be higher than the other studies done in similar settings.

KEYWORDS

caesarean section; multiparity; prevalence.

摘要

介绍

剖宫产术是最常见的产科手术之一。经产妇中的初次剖宫产是指先前经阴道分娩的多产妇中的第一次剖宫产。本研究旨在了解三级保健中心就诊的多产妇中初次剖宫产的流行情况。

方法

本研究为 2020 年 6 月 15 日至 2021 年 6 月 14 日在一家三级保健中心进行的描述性横断面研究。本研究获得了机构审查委员会的伦理批准（注册号：F-NMC/420/075/076）。在先前经阴道分娩的多产妇中，使用预先设计的表格收集人口统计学数据。使用便利抽样方法。计算了点估计值和 95%置信区间。

结果

在 1158 例多产妇中，发现初次剖宫产 155 例（13.39%）（95%置信区间：11.43-15.35）。大多数妇女 62 例（40%）属于 21-25 岁，大多数为第二胎产妇 51 例（32.90%）。紧急剖宫产 149 例（96.12%）。初次剖宫产的指征为胎儿窘迫 63 例（40.63%）、产程无进展和臀位 12 例（7.74%）。110 例（70.96%）术后并发症无异常。