巴西专业人员减少不必要剖腹产的策略

IF 1 Q4 OBSTETRICS & GYNECOLOGY
Samira M. Haddad, José Guilheherme Cececatti
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引用次数: 12

摘要

巴西是剖宫产率最高的国家之一,特别是在辅助保健部门。然而,就孕妇对分娩的愿望和期望而言,公营部门和私营部门的一些特点是相似的。社会、经济和文化各阶层的妇女都倾向于阴道分娩,这一事实将这一变量的负面影响的焦点从妇女转移到分娩护理中涉及的其他主体。没有孤立的因素能够证明作出剖腹产决定的复杂性,但医生和医院类型是主要的相关因素。不明智的剖宫产术的几个有害影响是科学公认的。重要的是提高医生和其他保健专业人员对这一决定的真正后果的认识,在选择行为时不完全关注患者健康的道德偏差,以及需要不断更新对各种可能的分娩情况的管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Estratégias dirigidas aos profissionais para a redução das cesáreas desnecessárias no Brasil
Brazil is among the countries with the highest cesarean section rates, especially in the supplementary health sector. However, some characteristics are similar in both the public and private sectors in terms of the wishes and expectations of pregnant women regarding their delivery. There is a preference for vaginal delivery among women of all social, economic, and cultural levels, a fact that shifts the focus of the negative influence of this variable from women to other subjects involved in delivery care. No isolated factor is able to justify the complexity of making a decision for cesarean section, but the physician and the type of hospital are the main associated factors. The several harmful effects of a non-judicious performance of cesarean section are scientifically recognized. It is important to raise the awareness of doctors and of other health professionals about the real consequences of this decision, the ethical deviations when conducts are chosen without exclusively focusing on the patient`s health, and the need for constant updating for the management of the various possible conditions of childbirth.
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来源期刊
CiteScore
1.90
自引率
8.30%
发文量
142
审稿时长
12 weeks
期刊介绍: The Brazilian Journal of Gynecology and Obstetrics (Revista Brasileira de Ginecologia e Obstetrícia, ISSN 1806-9339) is a monthly publication of scientific divulgation of the Federação das Sociedades de Ginecologia e Obstetrícia (FEBRASGO). It is directed to obstetricians, gynecologists and professionals of related areas, with the purpose of publishing research results on relevant topics in the field of Gynecology, Obstetrics and related areas. It is open to national and international contributions and the journal receives submissions only in English.
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