A Prospective, Population-Based Study of Trends in Operative Vaginal Delivery Compared to Cesarean Delivery Rates in Low- and Middle-Income Countries, 2010-2016

被引：18

作者：

Harrison, Margo S. ^{[1
]}

Saleem, Sarah ^{[2
]}

Ali, Sumera ^{[2
]}

Pasha, Omrana ^{[2
]}

Chomba, Elwyn ^{[3
]}

Carlo, Waldemar A. ^{[4
]}

Garces, Ana L. ^{[5
]}

Krebs, Nancy F. ^{[1
]}

Hambidge, K. Michael ^{[1
]}

Goudar, Shivaprasad S. ^{[6
]}

Dhaded, S. M. ^{[6
]}

Kodkany, Bhala ^{[6
]}

Derman, Richard J. ^{[7
]}

Patel, Archana ^{[8
]}

Hibberd, Patricia L. ^{[9
]}

Esamai, Fabian ^{[10
]}

Liechty, Edward A. ^{[11
]}

Tshefu, Antoinette ^{[12
]}

Lokangaka, Adrien ^{[12
]}

Bauserman, Melissa ^{[13
]}

Bose, Carl L. ^{[13
]}

Althabe, Fernando ^{[14
]}

Belizan, Jose M. ^{[14
]}

Buekens, Pierre ^{[15
]}

Moore, Janet L. ^{[16
]}

Wallace, Dennis D. ^{[16
]}

Miodovnik, Menachem ^{[17
]}

Koso-Thomas, Marion ^{[17
]}

McClure, Elizabeth M. ^{[16
]}

Goldenberg, Robert L. ^{[18
]}

机构：

[1] Univ Colorado, Sch Med, Denver, CO USA

[2] Aga Khan Univ, Dept Community Hlth Sci, Karachi, Pakistan

[3] Univ Zambia, Univ Teaching Hosp, Lusaka, Zambia

[4] Univ Alabama Birmingham, Birmingham, AL USA

[5] Inst Nutr Ctr Amer & Panama INCAP, Unidad Planificac, Guatemala City, Guatemala

[6] KLE Univ, Jawaharlal Nehru Med Coll, Belgaum, India

[7] Thomas Jefferson Univ, Philadelphia, PA 19107 USA

[8] Lata Med Res Fdn, Nagpur, Maharashtra, India

[9] Boston Univ, Boston, MA 02215 USA

[10] Moi Univ, Sch Med, Eldoret, Kenya

[11] Indiana Univ Sch Med, Indianapolis, IN 46202 USA

[12] Kinshasa Sch Publ Hlth, Kinshasa, DEM REP CONGO

[13] Univ N Carolina, Sch Med, Dept Pediat, Div Neonatal Perinatal Med, Chapel Hill, NC 27515 USA

[14] Inst Clin Effectiveness & Hlth Policy, Buenos Aires, DF, Argentina

[15] Tulane Sch Publ Hlth & Trop Med, New Orleans, LA USA

[16] RTI Int, Durham, NC USA

[17] NICHHD, Rockville, MD USA

[18] Columbia Univ, Dept Obstet Gynecol, New York, NY USA

来源：

AMERICAN JOURNAL OF PERINATOLOGY | 2019年 / 36卷 / 07期

关键词：

operative vaginal delivery; cesarean delivery; mode of delivery; low- and middle-income countries; facility-based delivery; SECTION;

D O I：

10.1055/s-0038-1673656

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective Few data are available on cesarean delivery and operative vaginal delivery trends in low- and middle-income countries. Our objective was to analyze a prospective population-based registry including eight sites in seven low- and middle-income countries to observe trends in operative vaginal delivery versus cesarean delivery rates over time, across sites. Study Design A prospective population-based study, including home and facility births among women enrolled from 2010 to 2016, was performed in communities in Argentina, Democratic Republic of Congo, Guatemala, India, Kenya, Pakistan, and Zambia. Women were enrolled during pregnancy and delivery outcome data were collected. Results We analyzed 354,287 women; 4,119 (1.2%) underwent an operative vaginal delivery and 45,032 (11.2%) delivered by cesarean. Across all sites with data for 7 years, rates of operative vaginal delivery decreased from 1.6 to 0.3%, while cesarean delivery increased from 6.4 to 14.4%. Similar trends were seen when individual country data were analyzed. Operative vaginal delivery rates decreased in both hospitals and clinics, except in the hospital setting at one of the Indian sites. Conclusion In low- and middle-income countries, operative vaginal delivery is becoming less utilized while cesarean delivery is becoming an increasingly common mode of delivery.

引用

页码：730 / 736

页数：7

共 15 条

[1] Cesarean section on maternal request: the viewpoint of expectant women [J].