伊拉克共和国苏莱曼尼亚市剖宫产率及指征的横断面分析研究——基于妇女健康行为的研究

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH American journal of health behavior Pub Date : 2023-08-30 DOI:10.5993/ajhb.47.4.14
Atiya Kareem Mohammed
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引用次数: 0

摘要

目的:剖宫产术的指征分为两类;绝对的,在没有选择的情况下,相对的,在有分娩方法选择的情况下,但剖宫产似乎为母亲和孩子提供了最好的安全机会。本研究旨在探讨苏莱曼尼亚妇产教学医院在考虑妇女健康行为的情况下,CS的发生率和适应症。方法:描述性、横断面研究于2020年10月1日至12月31日进行。该研究包括790名在研究期间通过选择性或紧急CS分娩的孕妇。在手术当天或手术后第二天,使用设计良好的问卷直接从妇女那里收集数据,并对病例表进行审查,以收集到的信息,如指征、CS类型(选择性或紧急)以及写在手术说明中的健康行为。同时,超声报告用于计算胎龄。结果:CS的发生率为34.6%,常见的适应症为既往CS(22.1%)、进展失败(11.9%)和胎儿窘迫(10%)。结论:本研究认为CS在研究地区很常见,其发生率比WHO推荐的既往CS、进展失败和胎儿窘迫为CS最常见的适应症高出2倍。我们的研究还提高了母亲的意识,她们可以通过不选择剖宫产来影响健康行为,除非医学上有必要,并且不接受医生。在没有询问适应症的关键问题的情况下决定做CS。
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A Cross-sectional Analytic Study on Rate and Indication of Caesarean Section in Sulaimaniyah City, Republic of Iraq: A Study From the Perspective of Women Health Behavior
Objective: The indications for cesarean section fall into two classes; absolute, where there is no choice, and relative, where there is a choice of method of delivery, but cesarean section (CS) appears to offer the best chance of safety for both mother and child. This research aim is to investigate the incidence and indications used for CS in Sulaimaniyah Maternity Teaching Hospital considering women health behavior. Methods: This descriptive-analytical, cross-sectional study was carried out from October 1st to December 31st, 2020. The study included 790 pregnant women who had delivered by elective or emergency CS during the study period. Data were collected from women directly using a well-designed questionnaire on the same day or the day after the surgery and a review of the case sheet was done for collected information such as indications, and types of CS (elective or emergency) along with health behavior which was written in the operative note. Also, an ultrasound report was used for the calculation of gestational age. Results: The incidence of CS was 34.6% and common indications of CS were having a previous CS (22.1%), failure of progress (11.9%), and fetal distress (10% Conclusions: The study concluded that CS was common in the study region, and the rate was two times higher than the WHO recommendation in which the previous CS, failure of progress, and fetal distress were the commonest indications of CS. Our study also creates awareness among mothers which can influence health behavior by not choosing cesarean delivery unless it is medically necessary and not to accept physicians??? decisions to do a CS without asking critical questions about the indication.
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来源期刊
American journal of health behavior
American journal of health behavior PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.30
自引率
0.00%
发文量
82
期刊介绍: The Journal seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.
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