埃及城乡地区妇女剖宫产模式。
Pattern of cesarean deliveries among women in an urban and rural district in Egypt.
机构信息
Department of Obstetrics and Gynecology, Faculty of Medicine (Girls), Al-Azhar University, Cairo, Egypt.
Department of Community Medicine, Faculty of Medicine (Girls), Al-Azhar University, Cairo, Egypt.
出版信息
Afr Health Sci. 2022 Dec;22(4):375-385. doi: 10.4314/ahs.v22i4.43.
AIM
to compare patterns of delivery at an urban and a rural district in Egypt over 3 years.
METHODS
This retrospective study included 500 women and 50 obstetricians from each district from January, 2013 till December, 2015. Women answered a questionnaire about their deliveries. Obstetricians answered a questionnaire about their practice of CS.
RESULTS
CS rate in the rural district was 57.2% compared to 54.8% in the urban district in 2013. In 2014 and 2015, CS rates increased to 65.3% and 69%, respectively in the rural district compared to 56% and 57.7%, respectively in the urban district. 66% of obstetricians in the rural district performed CS for more than 50% of their patients compared to 76% of obstetricians in the urban district. 52% and 4% of obstetricians in the rural and urban districts, respectively, performed CS upon maternal request. 70.3% of women in the rural district who delivered by CS preferred to deliver vaginally. 51.4% of urban women who delivered by CS preferred to deliver vaginally. Level of education was the only factor showing statistical significance.
CONCLUSION
CS rates increased over time with higher rates in the rural area. Level of women's education was the only factor affecting delivery choice.
目的
比较埃及一个城市和一个农村地区 3 年来的分娩模式。
方法
本回顾性研究纳入了 2013 年 1 月至 2015 年 12 月每个地区的 500 名妇女和 50 名产科医生。妇女回答了一份关于分娩的问卷，产科医生回答了一份关于他们剖宫产实践的问卷。
结果
2013 年，农村地区的剖宫产率为 57.2%，而城市地区为 54.8%。2014 年和 2015 年，农村地区的剖宫产率分别上升至 65.3%和 69%，而城市地区分别为 56%和 57.7%。农村地区 66%的产科医生为超过 50%的患者行剖宫产，而城市地区这一比例为 76%。农村地区有 52%和 4%的产科医生分别因产妇要求而行剖宫产，城市地区这一比例为 4%和 1%。农村地区 70.3%的剖宫产产妇希望阴道分娩，城市地区这一比例为 51.4%。受教育程度是唯一具有统计学意义的因素。
结论
剖宫产率随时间推移而增加，农村地区的剖宫产率更高。妇女受教育程度是影响分娩选择的唯一因素。
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