MMWR Morb Mortal Wkly Rep. 1995 Apr 21;44(15):303-7.
The rate of cesarean delivery in the United States is among the highest for developed nations. Because increased risks for maternal death and morbidity and perinatal morbidity are associated with cesarean delivery, a national health objective for the year 2000 is to reduce the overall rate of cesarean delivery to < or = 15.0 per 100 deliveries (1987 baseline: 24.4 per 100 deliveries) (objective 14.8)--a level last observed in 1978. This report uses data from CDC's National Hospital Discharge Survey (NHDS) to characterize cesarean deliveries during 1993, compares these rates with rates for 1970-1992, and assesses progress toward the national health objective for the year 2000.
在美国,剖宫产率在发达国家中位居前列。由于剖宫产与孕产妇死亡和发病风险增加以及围产期发病相关,2000年的一项国家卫生目标是将剖宫产总率降至每100例分娩≤15.0例(1987年基线:每100例分娩24.4例)(目标14.8)——这是1978年以来最后一次观察到的水平。本报告使用疾病控制和预防中心(CDC)的国家医院出院调查(NHDS)数据来描述1993年的剖宫产情况,将这些比率与1970 - 1992年的比率进行比较,并评估实现2000年国家卫生目标的进展。