PDF(Pubmed)
Abstract：
In the last few years, there has been a gradually increasing rate of caesarean section deliveries worldwide that negatively affects both mothers\' and children\'s health. The present survey intended to explore the relations of common maternal risk factors with the prevalence of caesarean sections. This is a cross-sectional study including 5182 healthy mothers from geographically diverse regions of Greece, which has applied relevant inclusion and exclusion criteria. An elevated 56.4% incidence of caesarean sections was noted. The prevalence of caesarean section deliveries was estimated to be 51.5% in private hospitals and 48.5% in public hospitals. Maternal age, pre-pregnancy overweight/obesity, excess gestational weight gain, preterm birth, financial status, smoking habits, and private type of birth hospital were considerably associated with a high probability of caesarean section, regardless of several confounders. In conclusion, caesarean section rates are constantly increasing, and various maternal risk factors additively elevate its incidence, which additionally enhances the likelihood of postpartum complications for both the mothers and their infants. Public health procedures and approaches are strongly recommended to notify future mothers of the potential risk factors that may result in adverse pregnancy outcomes of caesarean section delivery, highlighting its use only for emergency medical reasons and also promoting healthier nutritional and lifestyle habits that may reduce the increasing prevalence of caesarean section deliveries.
摘要：
在过去的几年里，在全球范围内，剖腹产分娩率逐渐上升，这对母亲和儿童的健康都产生了负面影响。本调查旨在探讨产妇常见危险因素与剖宫产率的关系。这是一项横断面研究，包括来自希腊地理不同地区的5182名健康母亲，适用了相关的纳入和排除标准。注意到剖宫产的发生率升高了56.4％。剖腹产的患病率估计在私立医院为51.5%，在公立医院为48.5%。产妇年龄,孕前超重/肥胖，妊娠期体重增加过多，早产,财务状况,吸烟习惯,和私立分娩医院与剖腹产的可能性很高，不管几个混杂因素。总之,剖腹产率不断提高，以及各种产妇危险因素增加了其发病率，这也增加了母亲和婴儿产后并发症的可能性。强烈建议公共卫生程序和方法，以通知未来的母亲可能导致剖腹产不良妊娠结局的潜在风险因素，强调其仅用于紧急医疗原因，并促进更健康的营养和生活习惯，这可能会减少剖腹产的患病率。
