Cesarean sections: who wants them and under what circumstances?
Cesarean sections: who wants them and under what circumstances?
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DOI：
10.1590/s0102-311x2003000600006
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发表时间：
2003-12-01
期刊：
影响因子：
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通讯作者：
Reis, Ana Cristina Gonçalves Vaz dos
中科院分区：
文献类型：
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作者：
Barbosa, Gisele Peixoto;Giffin, Karen;Reis, Ana Cristina Gonçalves Vaz dos
巴西的剖腹产率极高。在相关因素中，有人提出，巴西妇女中存在“剖腹产文化”（或偏爱这种分娩方式）。我们的研究探讨了这一概念。从1998年9月至1999年3月在里约热内卢的两家妇产科医院收集的数据进行了采访和医院记录分析的随机代表性样本的909名妇女谁刚刚分娩（454阴道分娩和455剖腹产）。在访谈中，当被问及是否想剖腹产时，75.5%的人回答否定，这表明这些妇女不能被认为是坚持“剖腹产文化”。对剖腹产的主要抱怨是：更慢和更难恢复（39.2%）和更大的疼痛和痛苦（26.8%）。然而，17%的样本在某个时候要求剖腹产，其中75%在分娩期间。分析显示，剖宫产的要求与入院和分娩之间的时间成正比。这表明（除了输卵管结扎的通常手段之外）分娩的实际情况是巴西妇女要求剖腹产的重要因素。
Brazil has extremely high cesarean rates. Among related factors, it has been suggested that a "culture of cesarean childbirth" (or a preference for this type of delivery) exists among Brazilian women. Our study investigates this notion. Data were collected from September 1998 to March 1999 in two maternity hospitals in Rio de Janeiro Interviews were conducted and hospital records analyzed for a random representative sample of 909 women who had just given birth (454 vaginal deliveries and 455 cesareans). In the interviews, when asked if they had wanted to have a cesarean, 75.5% replied in the negative, thus indicating that these women cannot be considered as adhering to a "culture of cesarean sections" The main complaints against cesareans were: slower and more difficult recovery (39.2%) and greater pain and suffering (26.8%). However, 17% of the sample had at some point requested a cesarean, 75% of whom during labor. Analysis revealed that the request for a cesarean section is directly proportional to time between admission to the hospital and delivery. This suggests that (in addition to being the usual means of access to tubal ligation) the actual circumstances of birthing are important factors in Brazilian women s requests for cesarean sections.