Women's preference for caesarean section: a systematic review and meta-analysis of observational studies.
Women's preference for caesarean section: a systematic review and meta-analysis of observational studies.
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DOI：
10.1111/j.1471-0528.2010.02793.x
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发表时间：
2011-03
期刊：
影响因子：
--
通讯作者：
Belizán JM
中科院分区：
文献类型：
--
作者：
Mazzoni A;Althabe F;Liu NH;Bonotti AM;Gibbons L;Sánchez AJ;Belizán JM
在中等和高收入国家，剖腹产率的显著增加部分归因于产妇的要求。我们对妇女对剖腹产的偏好进行了系统的回顾和荟萃分析。回顾已发表的关于女性偏好剖腹产的文献。系统检索MEDLINE、EMBASE、LILACS和PsychINFO。对所有纳入文献的参考文献进行了检查。我们纳入了定量评估任何国家妇女对剖腹产的偏好的研究。我们排除了评估医疗服务提供者偏好和定性研究的文章。两名评审员独立筛选所有已识别引文的摘要，选择可能符合条件的研究，并评估其全文版本。我们对比例进行了荟萃分析，并进行了荟萃回归分析，以确定与剖腹产偏好显著相关的变量。纳入了38项研究（n= 19，403）。剖宫产的总体合并偏好为15.6%（95% CI：12.5-18.9）。有剖腹产史的妇女比无剖腹产史的妇女更倾向于剖腹产（29.4% - 95% CI：24.4 - 34.8对比10.1% - 95% CI：7.5 - 13.1），以及生活在中等收入国家与高收入国家的人群（22.1%-95% CI：17.6 - 26.9对比11.8% - 95% CI：8.9 - 15.1）。在许多国家中，只有少数妇女表示愿意剖腹产。需要进一步研究，以更好地估计妇女的需求对剖腹产率上升的贡献。
The striking increase in caesarean section rates in middle and high-income countries has been partly attributed to maternal request. We conducted a systematic review and meta-analysis of women’s preferences for caesarean section. To review the published literature on women’s preferences for caesarean section. A systematic search of MEDLINE, EMBASE, LILACS and PsychINFO was performed. References of all included articles were examined. We included studies that quantitatively evaluated women’s preferences for caesarean section in any country. We excluded articles assessing health providers’ preferences and qualitative studies. Two reviewers independently screened abstracts of all identified citations, selected potentially eligible studies, and assessed their full-text versions. We conducted a meta-analysis of proportions, and a meta-regression analysis to determine variables significantly associated with caesarean section preference. 38 studies were included (n= 19,403). The overall pooled preference for caesarean section was 15.6% (95% CI: 12.5–18.9). Higher preference for caesarean section was reported in women with a previous caesarean section versus women without a previous caesarean section (29.4% – 95% CI: 24.4 to 34.8 - versus 10.1% – 95% CI: 7.5 to 13.1), and those living in a middle-income country versus a high-income country (22.1% –95% CI: 17.6 to 26.9 -versus 11.8% – 95% CI: 8.9 to 15.1). Only a minority of women in a wide variety of countries expressed a preference for caesarean delivery. Further research is needed to better estimate the contribution of women’s demand to the rising caesarean section rates.
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DOI：
10.1111/j.1471-0528.2006.01069.x
发表时间：
2006-11-01
影响因子：
5.8
作者：
Angeja, A. C. E.;Washington, A. E.;Caughey, A. B.
通讯作者：
Caughey, A. B.
影响因子：
2.5
作者：
Gamble, Jenny;Creedy, Debra K.;Beake, Sarah
通讯作者：
Beake, Sarah
DOI：
10.1016/s0020-7292(02)00391-0
发表时间：
2003-02-01
影响因子：
3.8
作者：
Chong, ESY;Mongelli, M
通讯作者：
Mongelli, M
DOI：
10.1016/0197-2456(86)90046-2
发表时间：
1986-09-01
期刊：
CONTROLLED CLINICAL TRIALS
影响因子：
--
作者：
DERSIMONIAN, R;LAIRD, N
通讯作者：
LAIRD, N
DOI：
10.1590/s0102-311x2003000600006
发表时间：
2003-12-01
期刊：
Cadernos de Saúde Pública
影响因子：
--
作者：
Barbosa, Gisele Peixoto;Giffin, Karen;Reis, Ana Cristina Gonçalves Vaz dos
通讯作者：
Reis, Ana Cristina Gonçalves Vaz dos