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首页> 外文期刊>Reproductive Health >Preference for cesarean section in young nulligravid women in eight OECD countries and implications for reproductive health education
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Preference for cesarean section in young nulligravid women in eight OECD countries and implications for reproductive health education

机译：八个经合组织国家的青少年妇女的剖宫产偏爱偏爱妇女的偏爱和生殖健康教育的影响

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Background Efforts to reduce unnecessary Cesarean sections (CS) in high and middle income countries have focused on changing hospital cultures and policies, care provider attitudes and behaviors, and increasing women’s knowledge about the benefits of vaginal birth. These strategies have been largely ineffective. Despite evidence that women have well-developed preferences for mode of delivery prior to conceiving their first child, few studies and no interventions have targeted the next generation of maternity care consumers. The objectives of the study were to identify how many women prefer Cesarean section in a hypothetical healthy pregnancy, why they prefer CS and whether women report knowledge gaps about pregnancy and childbirth that can inform educational interventions. Methods Data was collected via an online survey at colleges and universities in 8 OECD countries (Australia, Canada, Chile, England, Germany, Iceland, New Zealand, United States) in 2014/2015. Childless young men and women between 18 and 40?years of age who planned to have at least one child in the future were eligible to participate. The current analysis is focused on the attitudes of women ( n =?3616); rates of CS preference across countries are compared, using a standardized cohort of women aged 18–25?years, who were born in the survey country and did not study health sciences ( n =?1390). Results One in ten young women in our study preferred CS, ranging from 7.6% in Iceland to 18.4% in Australia. Fear of uncontrollable labor pain and fear of physical damage were primary reasons for preferring a CS. Both fear of childbirth and preferences for CS declined as the level of confidence in women’s knowledge of pregnancy and birth increased. Conclusion Education sessions delivered online, through social media, and face-to-face using drama and stories told by peers (young women who have recently had babies) or celebrities could be designed to maximize young women’s capacity to understand the physiology of labor and birth, and the range of methods available to support them in coping with labor pain and to minimize invasive procedures, therefore reducing fear of pain, bodily damage, and loss of control. The most efficacious designs and content for such education for young women and girls remains to be tested in future studies.
机译：在高中和中等收入国家减少不必要的剖宫产（CS）的背景努力侧重于改变医院文化和政策，护理提供者态度和行为，并提高妇女对阴道出生益处的了解。这些策略在很大程度上无效。尽管有证据表明，妇女在构思他们的第一个孩子之前对送达方式发出广泛的偏好，但很少有研究，没有干预措施已经针对下一代产妇护理消费者。该研究的目标是确定有多少女性在假设的健康怀孕中更喜欢剖宫产，为什么他们更喜欢CS以及女性是否报告有关怀孕和分娩的知识间隙，可以告知教育干预措施。方法2014/2015年通过高校（澳大利亚，加拿大，智利，英国，德国，冰岛，新西兰，美国）在线调查收集数据。 18至40岁的儿童年轻男女之间有岁月，未来计划至少有一个孩子有资格参加。目前的分析专注于女性的态度（n = 3616）;使用18-25岁的标准化的妇女队伍比较了各国的CS偏好率，以年龄在调查国出生，并没有学习健康科学（n = 1390）。结果我们学习的十名年轻女性中的一名年轻女性首选CS，在冰岛的7.6％，澳大利亚的18.4％。害怕无法控制的植物痛苦和对物理伤害的恐惧是偏爱CS的主要原因。对CS的恐惧和偏好的恐惧随着妇女对怀孕和出生知识的信心水平增加而下降。结论通过社交媒体和面对面地面对面交付的教育会议，使用同行（最近有婴儿的年轻女性）或名人的戏剧和故事可以旨在最大限度地利用年轻妇女的能力来了解劳动和出生的生理能力，以及支持它们的方法范围可用于应对植物疼痛并尽量减少侵入性程序，从而减少对疼痛，身体损伤和控制丧失的恐惧。对于未来的研究，对年轻女性和女童教育的最有效的设计和内容仍有待测试。

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