剖宫产指征的变化：美国，1985年和1994年。
Changes in indications for cesarean delivery: United States, 1985 and 1994.
作者信息
Gregory K D, Curtin S C, Taffel S M, Notzon F C
机构信息
Cedars-Sinai Research Institute, Cedars Sinai Medical Center, Los Angeles, USA.
出版信息
Am J Public Health. 1998 Sep;88(9):1384-7. doi: 10.2105/ajph.88.9.1384.
Abstract
OBJECTIVES
The percentages of cesarean deliveries attributable to specific indications (breech, dystocia, fetal distress, and elective repeat cesarean) were computed for 1985 and 1994.
METHODS
Data were derived from the 1985 and 1994 National Hospital Discharge Surveys.
RESULTS
Dystocia was the leading indication for cesarean delivery in both years. In comparison with 1985, cesareans performed in 1994 that were attributable to dystocia and breech presentation increased, those attributable to fetal distress did not change significantly, and elective repeat cesareans declined.
CONCLUSIONS
Studying indications for cesareans can be useful for hospitals, clinicians, and researchers in determining strategies to lower primary and repeat cesarean rates.
摘要
目的
计算1985年和1994年因特定指征（臀位、难产、胎儿窘迫和择期再次剖宫产）导致的剖宫产百分比。
方法
数据来源于1985年和1994年的全国医院出院调查。
结果
难产在这两年都是剖宫产的主要指征。与1985年相比，1994年因难产和臀位导致的剖宫产增加，因胎儿窘迫导致的剖宫产无显著变化，择期再次剖宫产减少。
结论
研究剖宫产指征有助于医院、临床医生和研究人员确定降低初次和再次剖宫产率的策略。
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