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哪些妇女更愿意选择剖宫产?

(2011-05-20 09:54:43)
标签:

保健

孕妇

剖宫产

健康

分类: 健康贴士

剖宫产(Cesarean sections)通常用于那些自然分娩可能存在困难或自然分娩可能导致严重并发症的孕妇,如孕妇患有糖尿病、先兆子癫或显著升高的血压等。事实上,与自然分娩比较,剖宫产的孕妇不仅面临手术带来的风险(如疼痛、感染、出血等),更加重了经济负担。因此,专家们建议是否进行剖宫产,应基于孕妇的自身情况(如健康状况与经济条件),及其法律与文化、宗教与风俗等多方面的因素而决定。至于哪些孕妇更愿意接受剖宫产,来自苏格兰的研究提示近年来情况有所变化,与以往剖宫产主要用于社会地位或阶层较低的女性不同,如今经济条件较富裕的女性更乐意授受剖宫产。更多资讯,请参阅原文:

 

 

Are Affluent Women More Apt to Choose C-Section?

Scottish study finds equality between social classes for emergency deliveries, but not elective ones

 

WEDNESDAY, May 18 (HealthDay News) -- Richer women are more likely to choose to deliver their babies by cesarean section than poorer women, a switch from the past when the reverse was the case, a new Scottish study has found.

Cesarean sections are often recommended when women face difficult deliveries or complications because of diabetes or preeclampsia, a life-threatening increase in blood pressure. But the surgery is associated with higher risks and extra costs.

  In the United States, cesarean deliveries reached a record high in 2008, accounting for almost one-third of births, previous research revealed.

The authors of the new study looked at births in Scotland during three time periods: 1980-1981, 1990-1991 and 1999-2000. Their findings are published in the May 18 online edition of the journal BMC Public Health.

"Thirty years ago, mothers having cesarean sections were more likely to come from deprived areas and/or from a lower social background. This was true for both elective and emergency sections," study co-author Ruth Dundas, a researcher with the Medical Research Council/Chief Scientist Office, Social and Public Health Sciences Unit, said in a news release from the journal's publisher.

"Ten years later, the rates had changed so that, although women from a lower social background were more likely to have emergency sections, there was no difference between them and women from a higher social background in elective surgery rates," Dundas added. "By 1999-2000, the rates had equalized for emergency section, but babies born by elective surgery were more likely to belong to mothers from the higher of the social classes measured."

The trend toward greater equality between social classes when it comes to emergency cesareans "reflects increased equality in health care," Dundas pointed out. But, she noted, that doesn't explain the differences in regard to elective surgeries.

Commenting on the study findings, Dr. Andrei Rebarber, clinical associate professor at New York University School of Medicine, said that education level -- which is linked to income -- is playing a major role in the choices of women to deliver by C-section in the United States.

"The lay press has attributed elective cesarean sections to a combination of medical, legal and patient choice issues," Rebarber said. "However, it seems likely that patient preference has become an ever-increasing factor in the overall cesarean delivery rate."

Rebarber suggested that there needs to be better education of doctors and patients about the risks and benefits of different approaches to childbirth.

 

SOURCES: BioMed Central, news release, May 17, 2011; Andrei Rebarber, M.D., clinical associate professor, New York University

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