关键词: C-section Fertility Private health Public health

Mesh : Humans Female Israel Cesarean Section / statistics & numerical data Adult Pregnancy Jews / statistics & numerical data psychology Family Planning Services / statistics & numerical data methods Judaism / psychology Young Adult

来  源:   DOI:10.1007/s10943-024-02026-3

Abstract:
The elevated frequency of Cesarean sections (C-sections) in OECD countries not only burdens health systems financially but also heightens the risks for mothers and infants. This study explores the feasibility of reducing C-section rates by examining the Israeli ultra-Orthodox population, noted for its large families and low C-section rates. We analyze birth data from an Israeli hospital, focusing on ultra-Orthodox mothers with husbands who are yeshiva students compared to other mothers. Our findings reveal that all else being equal, mothers married to yeshiva students exhibit a lower likelihood of undergoing a C-section and a higher propensity to seek private medical services to avoid this procedure. This behavior is attributed to their preference for large families and the desire to minimize C-sections, which may restrict the number of possible future pregnancies. These insights underscore the potential effectiveness of initiatives encouraging mothers to opt for vaginal deliveries, thereby reducing healthcare costs and maternal-infant risks.
摘要:
在经合组织国家,剖腹产(剖腹产)的频率上升不仅给卫生系统带来了经济负担,而且增加了母亲和婴儿的风险。本研究通过研究以色列超正统人口来探讨降低剖腹产率的可行性,以其大家庭和低剖腹产率而闻名。我们分析以色列医院的出生数据,与其他母亲相比,专注于具有Yeshiva学生的丈夫的超正统母亲。我们的发现表明,在其他条件相同的情况下,与Yeshiva学生结婚的母亲进行剖腹产的可能性较低,并且寻求私人医疗服务以避免这种程序的倾向较高。这种行为归因于他们对大家庭的偏好和尽量减少剖腹产的愿望,这可能会限制未来可能怀孕的次数。这些见解强调了鼓励母亲选择阴道分娩的举措的潜在有效性,从而降低医疗成本和母婴风险。
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