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首页> 外文期刊>Journal of obstetrics and gynaecology: the journal of the Institute of Obstetrics and Gynaecology >The rise in caesarean birth rate in Sagamu, Nigeria: reflection of changes in obstetric practice.
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The rise in caesarean birth rate in Sagamu, Nigeria: reflection of changes in obstetric practice.

机译：尼日利亚萨加姆剖腹产的上升：反映了产科实践的变化。

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摘要

A retrospective and comparative study of women delivered by caesarean section over two different 3-year periods was conducted at Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria. The caesarean section rate (CSR) increased from 10.3% in 1989 - 1991 to 23.1% in 2000 - 2003. The most frequent indication in both periods was different: prolonged/obstructed labour (20.0%) in 1989 - 1991 and antepartum haemorrhage (14.9%) in 2000 - 2003. Malpresentation, antepartum haemorrhage and pre-eclampsia/eclampsia were responsible for 51.7% of the difference in the CSR recorded between both periods. The CSR rose from 13.3% to 25.0% while the instrumental vaginal delivery (IVD) rate decreased significantly by 11.4% among the nulliparous women between the periods. Increase in CSR can be attributed mainly to reduction in IVD rate and alteration in the management of labour complications and induction policy. Strategies to reduce the CSR should cut across all indications and focus on encouraging instrumental vaginal deliveries, especially among nulliparous women.
机译：在尼日利亚萨加穆市的Olabisi Onabanjo大学教学医院对两个不同的3年期剖腹产妇女进行了回顾性比较研究。剖腹产率从1989年-1991年的10.3％增加到2000年-2003年的23.1％。两个时期中最常见的适应症是不同的：1989年-1991年的长期/受阻分娩（20.0％）和产前出血（14.9％）百分比）在2000年至2003年之间。误诊，产前出血和先兆子痫/子痫是这两个时期记录的CSR差异的51.7％。在这段期间中，未生育妇女的CSR从13.3％上升到25.0％，而阴道阴道分娩（IVD）率显着下降11.4％。 CSR的增加主要归因于IVD率降低以及分娩并发症和引诱政策管理的改变。减少CSR的策略应贯穿所有适应症，并着重于鼓励阴道阴道分娩，特别是在未产妇中。

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