Menticoglou S M
Department of Obstetrics, Gynaecology and Reproductive Sciences, University of Manitoba, Winnipeg, Canada.
Aust N Z J Obstet Gynaecol. 1997 Nov;37(4):387-92. doi: 10.1111/j.1479-828x.1997.tb02444.x.
This retrospective study examined the Caesarean section rates of 15 obstetricians at 1 hospital delivering 5,559 nulliparas with a single cephalic baby of birth-weight > or = 2,500 g. There was a wide variation in obstetricians' Caesarean rates, whether considering all their deliveries (5.5% to 20.1%), deliveries of their own patients (8.9% to 28.2%), or deliveries of their colleagues' patients (4.5% to 17.9%). There was no relation between Caesarean rates and perinatal outcome. The different Caesarean section rates among the obstetricians could not be explained by institutional factors, physician convenience, patient differences, or self-serving economic incentives.
这项回顾性研究调查了一家医院的15位产科医生的剖宫产率，这些医生共接生了5559例初产妇，均为单头位、出生体重≥2500g的婴儿。产科医生的剖宫产率差异很大，无论是考虑他们所有的分娩情况（5.5%至20.1%）、自己患者的分娩情况（8.9%至28.2%），还是同事患者的分娩情况（4.5%至17.9%）。剖宫产率与围产期结局之间没有关联。产科医生之间不同的剖宫产率无法用机构因素、医生便利程度、患者差异或利己的经济激励因素来解释。
