Cesarean and Vaginal Birth in Canadian Women: A Comparison of Experiences
Cesarean and Vaginal Birth in Canadian Women: A Comparison of Experiences
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DOI：
10.1111/j.1523-536x.2009.00377.x
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发表时间：
2010-03-01
影响因子：
2.5
通讯作者：
Lee, Lily
中科院分区：
文献类型：
--
作者：
Chalmers, Beverley;Kaczorowski, Janusz;Lee, Lily
背景：许多出版物研究了世界各地剖腹产率上升的原因。调查对象为加拿大围产期监测系统的产妇经历调查，以探讨剖腹产与分娩、分娩、母婴接触和母乳喂养等其他经历的相关性。方法：从2006年5月加拿大人口普查中随机抽取8244名估计符合条件的妇女作为样本，主要按省份和地区进行分层。结果：四分之三的产妇(73.7%)是经阴道分娩，26.3%的产妇是剖宫产，其中13.5%的产妇是计划剖宫产，12.8%的产妇是非计划剖宫产。除了更多的分娩干预措施外，尝试阴道分娩后剖宫产的妇女在出生后母婴接触较少，最佳母乳喂养做法较少。结论：产妇体验调查的结果表明，剖宫产妇女在分娩和分娩过程中经历了更多的干预，分娩和早期育儿结果较差。(出生37：2010年3月1日)。
Background:Many publications have examined the reasons behind the rising cesarean delivery rate around the world. Women's responses to the Maternity Experiences Survey of the Canadian Perinatal Surveillance System were examined to explore correlates of having a cesarean section on other experiences surrounding labor, birth, mother-infant contact, and breastfeeding.Methods:A randomly selected sample of 8,244 estimated eligible women stratified primarily by province and territory was drawn from the May 2006 Canadian Census. Completed responses were obtained from 6,421 women (78%).Results:Three-quarters of the women (73.7%) gave birth vaginally and 26.3 percent by cesarean section, including 13.5 percent with a planned cesarean and 12.8 percent with an unplanned cesarean. In addition to more interventions in labor, women who had a cesarean birth after attempting a vaginal birth had less mother-infant contact after birth and less optimal breastfeeding practices.Conclusion:Findings from the Maternity Experiences Survey indicated that women who have cesarean births experience more interventions during labor and birth and have less optimal birthing and early parenting outcomes. (BIRTH 37:1 March 2010).