Trends In Primary Cesarean Section Rates Among Women With And Without Perinatal Mood And Anxiety Disorders.
Trends In Primary Cesarean Section Rates Among Women With And Without Perinatal Mood And Anxiety Disorders.
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DOI：
10.1377/hlthaff.2021.00780
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发表时间：
2021-10
期刊：
影响因子：
9.7
通讯作者：
Dalton, Vanessa K.
中科院分区：
文献类型：
--
作者：
Zochowski, Melissa K.;Kolenic, Giselle E.;Zivin, Kara;Tilea, Anca;Admon, Lindsay K.;Hall, Stephanie, V;Advincula, Agatha;Dalton, Vanessa K.
降低被认为是通过这种方法分娩的低风险妇女的剖宫产率是2030年健康人的目标。此前的研究表明，围产期情绪和焦虑症会增加剖腹产的风险，但数据有限。这项针对商业保险女性的横断面研究使用2008- 2017年期间美国住院分娩的行政索赔数据，研究了围产期抑郁症和焦虑症与初次（首次）剖宫产率之间的关系。在317，802名独特女性的360，225次分娩住院中，24.0%包括初次剖宫产分娩，3.1%在指数妊娠期间诊断为抑郁，焦虑或两者兼而有之。使用调整后的广义估计方程，我们发现，与没有这些疾病的妇女相比，初次剖宫产的预测概率平均高出3.5个百分点。我们的研究结果证实了进行研究的重要性，以确定围产期抑郁症和焦虑症的机制，增加了妇女的风险，否则被认为是低风险的分娩方式，以及有效的干预措施。
Reducing the rate of cesarean sections among women considered at low risk for delivery by that method is a goal of Healthy People 2030. Prior research suggests that perinatal mood and anxiety disorders increase the risk for cesarean section, but data are limited. This cross-sectional study of commercially insured women examined the relationship between perinatal depression and anxiety disorders and primary (first-time) cesarean section rates, using administrative claims data for US in-hospital deliveries from the period 2008–17. Of the 360,225 delivery hospitalizations among 317,802 unique women, 24.0 percent included a delivery by primary cesarean section and 3.1 percent carried a diagnosis of depression, anxiety, or both made during the index pregnancy. Using an adjusted generalized estimating equation, we found that the predicted probability of primary cesarean section was 3.5 percentage points higher, on average, among women with these disorders compared with those without. Our findings confirm the importance of pursuing research to identify mechanisms by which perinatal depression and anxiety disorders increase the risk for primary caesarian section among women otherwise considered low risk for delivery by that method, as well as effective interventions.
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作者：
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影响因子：
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DOI：
10.1111/1471-0528.13254
发表时间：
2015-12-01
影响因子：
5.8
作者：
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通讯作者：
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