论文部分内容阅读
1980年世界卫生组织欧洲地区围产期研究组发出情况调查表,调查有关围产期情况的国际水平,并比较其手术产率。调查表统计三种手术:产钳、胎头吸引术和剖腹产术,并假设其总和代表了总手术产率。有13个国家提供了数据,其中手术产率最高的是英国和威尔士为21%,苏格兰24%,其它国家阴道手术产率约为1-13%,剖腹产率4-12%,总手术产率6-24%。其手术目的为减少产伤、疾病和母婴死亡。衡量其效果的唯一尺度是围产期死亡率,因为发病率不易获得,母体死亡率又太低以致不可靠。作者研究了剖腹产率,总手术产率与围产期死亡率的关系,从11个国家提供的数据得出结论是手术产并未改善围产期的状况。此结论实际上由于阴道手术产率也被加到剖腹产率上而低估了其手术产的价值,且阴道臀位产也未计算在内。调查表还调查了自然发动和引产发动的正常产
1980 Questionnaire from the WHO Regional Study Group on Perinatal Issues in Europe to investigate the international status of perinatal conditions and to compare their surgical yields. The questionnaire included three types of operations: forceps, fetal head aspiration and caesarean section, assuming that the sum represents the total surgical yield. Thirteen countries provided data, including 21% in the United Kingdom and Wales, 24% in Scotland, the highest surgeries in other countries, caesarean section rates in other countries, caesarean section rates in 4-12%, and total surgical output 6-24%. The purpose of surgery is to reduce birth trauma, illness and maternal and infant deaths. The only measure of its effectiveness is perinatal mortality, since morbidity is not readily available and maternal mortality is too low to be reliable. The authors studied the relationship between caesarean section rate, total surgical yield and perinatal mortality, and concluded from data provided by 11 countries that surgical production did not improve perinatal status. This conclusion actually underestimates the value of its surgically produced product due to vaginal surgery also being added to the caesarean section, and vaginal breech production is also not counted. The questionnaire also investigated the normal production of natural motivation and induction of labor