十年来加纳 10 个大区剖腹产率的全国性综合调查。

IF 2.6 3区 生物学 Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY BioMed Research International Pub Date : 2024-11-09 eCollection Date: 2024-01-01 DOI:10.1155/2024/3774435
Senyefia Bosson-Amedenu, Abdulzeid Anafo, Ahmed Ouerfelli, Nabil Ouerfelli, Noureddine Ouerfelli
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引用次数: 0

摘要

本研究调查了 2008 年至 2017 年期间加纳 10 个地区的剖腹产情况,并对计划剖腹产和紧急剖腹产进行了区分。计划剖腹产针对特定的产妇情况,如高龄、多产妇和病史,而紧急剖腹产则针对急性胎儿窘迫、子痫前期、出血和其他紧急情况。分析显示了不同的地区模式,布隆-阿哈福地区显示 2017 年后可能会减速,而上西部地区显示可能会加速。大阿克拉和阿散蒂地区的剖腹产数量较高可能与人口密度和医疗设施有关。研究提出了经验模型,包括线性、二次方和指数成分,强调准线性。指数模型表明,剖宫产频率分为瞬时阶段和永久阶段,后者以准线性为主。最佳参数值的确定突出了模型的稳定性。然而,由于观察到的趋势不可避免地会放缓,因此在对未来进行过远的预测时应谨慎。研究结果为医疗保健规划、资源分配和政策制定提供了启示,强调了针对特定地区的方法和持续监测剖宫产动态的必要性,从而为细致入微的干预措施提供依据。
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Examining Cesarean Section Rates in Ghana's 10 Regions Over a Decade a Comprehensive National Investigation.

This study examines cesarean section (C-section) deliveries in Ghana from 2008 to 2017 in 10 regions, distinguishing between scheduled and emergency procedures. Scheduled C-sections target specific maternal conditions, such as advanced age, multiparity, and medical history, while emergency C-sections address acute fetal distress, preeclampsia, bleeding, and other urgent situations. The analysis reveals various regional patterns, with the Brong-Ahafo Region showing a potential deceleration after 2017 and the Upper West Region indicating a possible acceleration. The high number of C-sections in Greater Accra and Ashanti may be related to population density and health facilities. The study proposes empirical models, including linear, quadratic, and exponential components, emphasizing quasilinearity. The exponential model suggests transient and permanent phases of cesarean frequency, with the latter dominated by quasilinearity. Optimal parameter values are determined, which highlights the stability of the model. However, caution is advised when projecting too far into the future due to the inevitable slowing of observed trends. The findings offer insights for healthcare planning, resource allocation, and policymaking, emphasizing the need for region-specific approaches and ongoing monitoring of cesarean dynamics to inform nuanced interventions.

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来源期刊
BioMed Research International
BioMed Research International BIOTECHNOLOGY & APPLIED MICROBIOLOGY-MEDICINE, RESEARCH & EXPERIMENTAL
CiteScore
6.70
自引率
0.00%
发文量
1942
审稿时长
19 weeks
期刊介绍: BioMed Research International is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies covering a wide range of subjects in life sciences and medicine. The journal is divided into 55 subject areas.
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