围产期死亡率降低，剖宫产率升高。

Decrease in perinatal mortality and increase in cesarean section rates.

作者信息

Shehata A I, Hashim T J

机构信息

Department of Community Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.

出版信息

Int J Gynaecol Obstet. 1995 Mar;48(3):261-7. doi: 10.1016/0020-7292(94)02282-4.

DOI:10.1016/0020-7292(94)02282-4

PMID:7781867

Abstract

OBJECTIVES

To investigate the cesarean section (CS) rate in the Riyadh area, its trend and relationship to perinatal mortality (PNM).

METHODS

Based on delivery data obtained from the Ministry of Health hospitals, Saudi Arabia, for a total of 12 years, yearly rates of CS, PNM and the ratios of obstetricians and beds per 10,000 population were computed for the Riyadh area and compared with the overall rates for Saudi Arabia. Correlation coefficients were used to investigate the relationship between the CS rate and each of the stated variables.

RESULTS

Riyadh had significantly lower rates of CS and PNM than Saudi Arabia as a whole. The CS rate in Riyadh showed a positive trend (increasing from 4.4 to 6.7%) while the PNM rate revealed a significant decreasing trend (decreasing from 21.6/1000 to 16/1000 live births). A negative association existed between the Riyadh rates of PNM and CS (r = -0.2375) and PNM and the availability of obstetricians (r = -0.8693).

CONCLUSIONS

From our data it was not possible to establish a cause and effect relationship between the CS and PNM rates.

摘要

目的

调查利雅得地区的剖宫产率、其变化趋势以及与围产期死亡率的关系。

方法

基于从沙特阿拉伯卫生部医院获取的12年分娩数据，计算利雅得地区每年的剖宫产率、围产期死亡率以及每万人口的产科医生和床位比例，并与沙特阿拉伯的总体比率进行比较。使用相关系数来研究剖宫产率与每个所述变量之间的关系。

结果

利雅得的剖宫产率和围产期死亡率显著低于沙特阿拉伯整体水平。利雅得的剖宫产率呈上升趋势（从4.4%增至6.7%），而围产期死亡率则呈显著下降趋势（从每1000例活产中的21.6例降至16例）。利雅得的围产期死亡率与剖宫产率之间存在负相关（r = -0.2375），围产期死亡率与产科医生数量之间也存在负相关（r = -0.8693）。