LILAC研究中HIV感染者产妇要求剖宫产的二次分析。

Margo S Harrison
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引用次数: 0

摘要

背景:拉丁美洲是剖宫产平均出生率最高的地区。一个潜在的驱动因素是产妇要求剖宫产(CBMR)。方法:我们分析了6个拉丁美洲国家的hiv感染妇女的大型前瞻性队列研究。结果:比较了选择CBMR的妇女(n = 38)和有医学指征的剖宫产妇女(n = 683)。与CBMR相关的唯一变量是分娩开始时间(AOR为0.3 [0.1,0.9],p = 0.04)。结论:在拉丁美洲的一个大型队列中,自然分娩降低了感染艾滋病毒的妇女进行CBMR的可能性。
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A Secondary Analysis of the LILAC Study Regarding Cesarean Birth by Maternal Request in Women Living with HIV.

Background: Latin America has the highest regional average cesarean birth rates. One potential driver is cesarean birth by maternal request (CBMR).

Methods: We analyzed of a large prospective cohort study of HIV-infected women in six Latin American countries.

Results: Comparisons were made between women who chose CBMR (n = 38) and women with a medical indication for cesarean (n = 683). The only variable associated with CBMR was onset of labor (AOR 0.3 [0.1,0.9], p = 0.04).

Conslusion: Spontaneous labor reduced the likelihood of a woman living with HIV to pursue CBMR in a large Latin American cohort.

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