Cesarean section in sub-Saharan Africa.
Cesarean section in sub-Saharan Africa.
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DOI：
10.1186/s40748-016-0033-x
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发表时间：
2016-01-01
期刊：
影响因子：
--
通讯作者：
Goldenberg, Robert L
中科院分区：
文献类型：
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作者：
Harrison, Margo S;Goldenberg, Robert L
剖宫产是一项重要的产妇保健服务。它在低收入和中等收入国家的分娩护理中的作用是复杂的；在许多资源匮乏的情况下，它在最需要的人口中利用不足，而在较不需要的人口中过度使用，没有明确的方法来确保普遍获得。此外，即使可以普遍获得，也不清楚这些国家是否有能力或财政适当地满足对该程序的需求，或者患者是否愿意利用这种护理。本综述总结了相关文献，并阐述了剖宫产术与撒哈拉以南非洲地区的个人、社区和国家之间的复杂关系，剖宫产术在世界范围内迅速兴起。
Cesarean section is an essential maternal healthcare service. Its role in labor and delivery care in low- and middle-income countries is complex; in many low-resource settings it is underutilized in the most needy of populations and overused by the less needy, without clear methods to ensure that universal access is available. Additionally, even if universal access were available, it is not evident that these countries would have the capacity or the finances to appropriate meet demand for the procedure, or that patients would want to utilize the care. This review summarizes the literature and illustrates the complicated relationship that cesarean section, which is rapidly on the rise around the world, has with individuals, communities, and nations in sub-Saharan Africa.