首页> 外文期刊>Geburtshilfe und Frauenheilkunde >Personal Preference of Mode of Delivery. What do Urogynaecologists choose? Preliminary Results of the DECISION Study
【24h】

Personal Preference of Mode of Delivery. What do Urogynaecologists choose? Preliminary Results of the DECISION Study

机译:个人偏好的交付方式。 尿素生态学家选择什么? 决策研究的初步结果

获取原文
获取原文并翻译 | 示例
       

摘要

Introduction Currently, almost every third child in Germany is delivered by caesarean section. Apart from straightforward and clear indications for caesarean section which account for approx. 10%, the large proportion of relative indications in particular needs to be critically reviewed if the current C-section rate is to be effectively lowered. It is more than doubtful, however, whether this can be a realistic goal in Germany, especially in the context of international developments. All studies on this topic demonstrate that the personal attitude of the obstetric team has a considerable influence on the pregnant woman?s personally preferred mode of delivery. Therefore, in the first part of the DECISION study, the personal preferences of urogynaecologists were evaluated regarding the best suitable mode of delivery. Material and Methods All 432 delegates at the 9th German Urogynaecology Congress in Stuttgart in April 2017 were invited to participate in an online questionnaire study. The questionnaire was developed especially for this study. Results Of the 432 registered delegates, 189 (43.8%) participated in the survey. 84.7% (n = 160) of the study participants would prefer a vaginal delivery, in an otherwise uncomplicated pregnancy. Only 12.2% (n = 23) opted for an elective caesarean section. The main reasons stated for this decision were concerns about incontinence (87.5%) and pelvic floor trauma (79.2%). Amongst the study participants, 83.6% would like to be part of a risk stratification system presented in the questionnaire which, with the aid of specific parameters, is intended to allow early identification of a population with a high risk of developing pelvic floor disorders. There was also great interest in postpartum pelvic floor recovery (97.8%) and an associated optional pessary therapy (64.4%). The type of delivery already experienced (vaginal delivery vs. primary caesarean section) and parity also reveals to have a significant influence on the personal preferred mode of delivery as well. Conclusions Urogynaecologists prefer vaginal delivery for themselves. There is a great interest to participate in a risk stratification process in order to approach childbirth in an individualized and risk-adapted manner.
机译:目前介绍,德国几乎每个第三个儿童都被剖腹产发布。除了剖腹产部分的直截了当和清晰的迹象,占概要。 10%,如果要有效降低当前的C型速率,则需要严格审查相对指示的大比例。然而,这是令人怀疑的疑问,这是否可以成为德国的现实目标,特别是在国际发展的背景下。所有关于这一主题的研究表明,产科团队的个人态度对孕妇的个人优先交付方式具有相当大的影响。因此,在决策研究的第一部分中,对尿素症的个人偏好是关于最佳合适的交付方式进行评估。物质和方法邀请2017年4月斯图加特第九届德国尿素生态大会的所有432个代表参加了一个在线问卷研究。调查问卷是特别为这项研究制定的。 432名注册代表,189名(43.8%)参加了调查。 84.7%(n = 160)的研究参与者将在另有复杂的怀孕中更喜欢阴道分娩。仅12.2%(n = 23)选择选修剖面部分。该决定规定的主要原因是关于尿失禁(87.5%)和骨盆地板创伤(79.2%)的担忧。在研究参与者中,83.6%希望成为调查问卷中提出的风险分层系统的一部分,借助特定参数,旨在允许早期鉴定具有开发骨盆地板障碍的高风险的人群。在产后盆地地板恢复(97.8%)和相关的可选宫颈治疗(64.4%)也有很大的兴趣。已经经历过的递送类型(阴道分娩与主要剖腹产)和平价也揭示了对个人首选交付方式产生重大影响。结论尿素导体主义者对自己更喜欢阴道递送。参与风险分层过程有很大的兴趣,以便以个性化和风险适应的方式接近分娩。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号