Christopoulos Panagiotis, Tsarna Ermioni, Eleftheriades Anna, Korompokis Ilias, Karampas Grigorios, Vlachos Nikos F
Second Department of Obstetrics and Gynaecology, Aretaieion University Hospital, National and Kapodistrian University of Athens, 76 Vasilisis Sofias Avenue, 11528 Athens, Greece.
J Clin Med. 2025 Apr 3;14(7):2444. doi: 10.3390/jcm14072444.
: In Greece, the cesarean section (CS) rate reached 62.15% in 2023. This study aims to document Greek obstetricians' preferences and choices regarding the delivery mode of their own children. : A questionnaire was emailed to Greek obstetricians, capturing demographics, preferred and actual delivery modes, regrets about delivery choices, and opinions on factors contributing to the high CS rate. Of the 337 respondents, 78.8% preferred normal labor, but only 55.8% reported a vaginal delivery for their first child. Only 31% would opt for vaginal birth after CS. Male and married obstetricians were more likely to prefer vaginal birth, while those with more children or children born earlier were more likely to have delivered vaginally their first child. Partner preference influenced both the obstetrician's choice and the actual delivery mode. According to Greek obstetricians, the primary reasons for the high CS rate are hostile medico-legal conditions (56.3%), advanced maternal age and in vitro fertilization (42.6%), and lack of training in instrumental deliveries (37.2%). Maternal request was cited by 25% of respondents. Although four in five Greek obstetricians favor normal labor for their own children, the CS rate among them mirrors that of the general population. Convenience scheduling does not appear to drive Greece's high CS rate. Obstetricians suggest that legislative reforms, improved training, and public health strategies to reduce maternal CS requests are essential for lowering the CS rate.
在希腊，2023年剖宫产率达到了62.15%。本研究旨在记录希腊产科医生对于自己孩子分娩方式的偏好和选择。向希腊产科医生发送了一份调查问卷，收集人口统计学信息、偏好的和实际的分娩方式、对分娩选择的遗憾，以及对导致高剖宫产率因素的看法。在337名受访者中，78.8%的人更喜欢顺产，但只有55.8%的人报告其第一个孩子是顺产。只有31%的人会选择剖宫产术后阴道分娩。男性和已婚产科医生更倾向于顺产，而孩子较多或孩子出生较早的产科医生其第一个孩子顺产的可能性更大。伴侣的偏好既影响产科医生的选择，也影响实际的分娩方式。根据希腊产科医生的说法，剖宫产率高的主要原因是恶劣的医疗法律环境（56.3%）、高龄产妇和体外受精（42.6%），以及器械助产方面缺乏培训（37.2%）。25%的受访者提到是产妇的要求。尽管五分之四的希腊产科医生希望自己的孩子顺产，但他们的剖宫产率与普通人群的剖宫产率相当。方便安排时间似乎并非导致希腊高剖宫产率的原因。产科医生建议，立法改革、加强培训以及制定公共卫生策略以减少产妇要求剖宫产的情况，对于降低剖宫产率至关重要。
