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The effect of prenatal education regarding delivery choices on the incidence of cesarean sections.

机译：关于分娩选择的产前教育对剖宫产的影响。

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摘要

Problem: The incidence of cesarean sections (CS) is rising worldwide. CS are associated with greater healthcare risks and costs than vaginal delivery methods. This review of the literature attempts to evaluate if prenatal education programs for women regarding delivery options can be implemented to inform, educate, include women in the decision-making surrounding childbirth, and ultimately decrease the rate of CS. Methods: The Weill Cornell Medical College Library online, in particular PubMed and Ovid databases, were used. Various governmental vital statistical reports were reviewed. Only articles published in English after the year 2000 were included in this review. Results: A total of 26 articles were discussed. In addition, statistics and data from various US Department of Health websites were included. The evaluated studies originate in several countries and discuss not only the characteristics associated with the women who undergo CS, but also include data on the rising global costs linked to this procedure. They also show how certain interventions can decrease this rate and examine the power of prenatal education in various areas of perinatal interest. Conclusions: There is extensive statistical evidence that the rate of CS worldwide is on the rise. There is also literary evidence that prenatal programs offered to women can make a difference in several parameters associated with the health of mother and baby. This knowledge can be used to find a way to decrease the current rate of CS. We can create tailored programs that inform and educate pregnant women about their delivery choices with the attempt to get them involved in the decision-making and ultimately decrease the rate of CS performed annually.
机译：问题：剖宫产（CS）的发生率在全球范围内正在上升。与阴道分娩方法相比，CS与更大的医疗保健风险和成本相关。这篇文献综述试图评估是否可以实施针对分娩选择的妇女产前教育计划，以使妇女参与分娩的决策过程中得到信息，教育，包括妇女，并最终降低CS发生率。方法：使用了威尔康奈尔医学院在线图书馆，特别是PubMed和Ovid数据库。审查了各种政府生命统计报告。该评论仅包括2000年以后以英文发表的文章。结果：共讨论26篇文章。此外，还包括来自美国卫生部各个网站的统计信息和数据。经过评估的研究起源于多个国家，不仅讨论了接受CS的妇女的特征，还包括与该程序相关的全球成本不断上升的数据。他们还展示了某些干预措施如何降低这一比率，并检查了围产期各个领域的产前教育能力。结论：有大量的统计证据表明，全球范围内CS的比率正在上升。还有文学证据表明，为妇女提供的产前计划可以在与母婴健康相关的几个参数上有所作为。该知识可用于找到降低当前CS速率的方法。我们可以创建量身定制的计划，以告知和教育孕妇分娩的选择，并尝试使她们参与决策并最终降低每年CS的发生率。

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  • 作者

    Rodriguez-Barrera, Alicia.;

  • 作者单位

    Weill Medical College of Cornell University.;

  • 授予单位 Weill Medical College of Cornell University.;
  • 学科 Health Sciences Obstetrics and Gynecology.;Health Sciences Medicine and Surgery.
  • 学位 M.S.H.S.
  • 年度 2011
  • 页码 52 p.
  • 总页数 52
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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