Bulger T, Howden-Chapman P, Stone P
Department of Public Health, Wellington School of Medicine.
N Z Med J. 1998 Feb 13;111(1059):30-3.
To examine the trends in frequency of Caesarean section in New Zealand.
Caesarean section rates (CSR) were calculated from the National Minimum Data Set between 1988/89 and 1994/95. Demographic data relating to women having Caesarean sections were examined for 1994/95. The results were checked with regional health authorities and Crown health enterprises containing teaching hospitals.
The national CSR, which was 9.6% in 1983/84, increased from 11.6% in 1988/89 to 15.3% in 1994/95. Previous Caesarean and dystocia are reported to be the indicators for nearly half of all Caesareans.
The national CSR is high and continues to increase. The international literature shows that national recommendations to reduce the CSR are less effective than hospital-based initiatives.
研究新西兰剖宫产率的变化趋势。
根据1988/89至1994/95年的国家最低数据集计算剖宫产率（CSR）。对1994/95年剖宫产妇女的人口统计学数据进行了研究。结果与包括教学医院在内的地区卫生当局和皇家卫生企业进行了核对。
1983/84年全国剖宫产率为9.6%，从1988/89年的11.6%上升至1994/95年的15.3%。据报道，既往剖宫产史和难产是近一半剖宫产的指征。
全国剖宫产率较高且持续上升。国际文献表明，国家层面降低剖宫产率的建议不如基于医院的举措有效。
