Estimating the proportion of unnecessary Cesarean sections in Ohio using birth certificate data.
Estimating the proportion of unnecessary Cesarean sections in Ohio using birth certificate data.
复制标题
使用出生证明数据估算俄亥俄州不必要剖腹产的比例。
DOI：
10.1016/s0895-4356(98)00125-5
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发表时间：
1998
影响因子：
7.2
通讯作者：
Rimm,AA
中科院分区：
文献类型：
--
作者：
Koroukian,SM;Trisel,B;Rimm,AA
这项研究的主要目的是提出一种方法，估计比例的不必要的剖腹产（剖腹产）使用出生证明数据。这项以人口为基础的横断面研究使用了两个主要的数据库-俄亥俄州出生证明和医疗补助资格文件，包括1991年7月至1993年6月期间出生的单胎婴儿（n = 262，013）。总共检查了57个指示不良事件的变量，包括产妇医疗风险因素，分娩和分娩并发症以及出生证明上的先天性异常，以估计不必要的剖腹产率。通过这种方法获得的结果表明，近40%的重复剖腹产在出生证明上没有记录异常，以证明剖腹产是合理的。由于使用医疗记录的研究也得出了类似的结果，我们认为使用出生证明数据可能是测量和监测不必要剖腹产率的可靠方法。
The main objective of the study is to present a method that estimates the proportion of unnecessary Cesarean sections (C-sections) using birth certificate data. This population-based cross-sectional study uses two major databases—Ohio birth certificates and Medicaid eligibility files—and includes singleton infants born during the period July 1991 through June 1993 (n = 262,013). A total of 57 variables indicative of adverse events, including maternal medical risk factors, complications of labor and delivery, and congenital anomalies that are available on the birth certificate, are examined to estimate the rate of unnecessary C-sections. The results obtained through this method indicate that nearly 40% of the repeat C-sections had no documented abnormalities on the birth certificate to justify a C-section. Because studies using medical records have yielded similar results, we believe that using birth certificate data may be a reliable method to measure and monitor the rate of unnecessary C-sections.