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对加纳 10 个地区十年来剖宫产率的全面全国性调查。

Examining Cesarean Section Rates in Ghana's 10 Regions Over a Decade a Comprehensive National Investigation.

机构信息

Department of Mathematics, Statistics and Actuarial Science, Takoradi Technical University, Takoradi, Western Region, Ghana.

Department of Mathematical Science, University of Mines and Technology, Tarkwa, Western Region, Ghana.

出版信息

Biomed Res Int. 2024 Nov 9;2024:3774435. doi: 10.1155/2024/3774435. eCollection 2024.

DOI:10.1155/2024/3774435
PMID:39553391
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11568890/
Abstract

This study examines cesarean section (C-section) deliveries in Ghana from 2008 to 2017 in 10 regions, distinguishing between scheduled and emergency procedures. Scheduled C-sections target specific maternal conditions, such as advanced age, multiparity, and medical history, while emergency C-sections address acute fetal distress, preeclampsia, bleeding, and other urgent situations. The analysis reveals various regional patterns, with the Brong-Ahafo Region showing a potential deceleration after 2017 and the Upper West Region indicating a possible acceleration. The high number of C-sections in Greater Accra and Ashanti may be related to population density and health facilities. The study proposes empirical models, including linear, quadratic, and exponential components, emphasizing quasilinearity. The exponential model suggests transient and permanent phases of cesarean frequency, with the latter dominated by quasilinearity. Optimal parameter values are determined, which highlights the stability of the model. However, caution is advised when projecting too far into the future due to the inevitable slowing of observed trends. The findings offer insights for healthcare planning, resource allocation, and policymaking, emphasizing the need for region-specific approaches and ongoing monitoring of cesarean dynamics to inform nuanced interventions.

摘要

本研究考察了 2008 年至 2017 年加纳 10 个地区的剖宫产情况,区分了计划性和紧急剖宫产。计划性剖宫产针对特定的产妇情况,如高龄、多产和病史,而紧急剖宫产则针对急性胎儿窘迫、子痫前期、出血和其他紧急情况。分析显示出各种区域性模式,布隆-阿哈福地区在 2017 年后可能出现减速,上西部地区则可能出现加速。大阿克拉和阿散蒂地区的剖宫产数量较多,可能与人口密度和卫生设施有关。本研究提出了经验模型,包括线性、二次和指数分量,强调了拟线性。指数模型表明剖宫产频率存在暂态和永久阶段,后者主要由拟线性主导。确定了最优参数值,突出了模型的稳定性。然而,由于观察到的趋势不可避免地放缓,在对未来进行预测时需要谨慎,因为未来可能会出现这种情况。这些发现为医疗保健规划、资源分配和决策制定提供了见解,强调了需要采取针对特定地区的方法,并持续监测剖宫产动态,以提供细致入微的干预措施。

相似文献

1
Examining Cesarean Section Rates in Ghana's 10 Regions Over a Decade a Comprehensive National Investigation.对加纳 10 个地区十年来剖宫产率的全面全国性调查。
Biomed Res Int. 2024 Nov 9;2024:3774435. doi: 10.1155/2024/3774435. eCollection 2024.
2
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PLoS One. 2013 May 7;8(5):e60761. doi: 10.1371/journal.pone.0060761. Print 2013.
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PLoS One. 2024 May 9;19(5):e0302369. doi: 10.1371/journal.pone.0302369. eCollection 2024.

本文引用的文献

1
FIGO opinion paper: Drivers and solutions to the cesarean delivery epidemic with emphasis on the increasing rates in Africa and Southeastern Europe.FIGO 观点文件:剖宫产流行的驱动因素和解决方案,重点关注非洲和东南欧不断上升的剖宫产率。
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Interventions to reduce unnecessary caesarean sections in healthy women and babies.减少健康妇女和婴儿不必要剖宫产的干预措施。
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ACOG Practice Bulletin No. 199: Use of Prophylactic Antibiotics in Labor and Delivery.ACOG 实践公告第 199 号:分娩和分娩中预防性使用抗生素。
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The Future of Cesarean Delivery Rates in the United States.美国剖宫产率的未来
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