Birth:传媒建议医生对产妇行剖宫产都有哪些原因?

2015-05-22 MedSci MedSci原创

背景:近年来媒体对产妇剖宫产形式较为关注,这一现象提高了产妇的剖宫产率,且美国妇产科学院(ACOG)已经允许大学生可以选修剖宫产课程。方式:研究人员收集了2000-2013年美国报纸和杂志共131篇文章,探究并分析传媒如何报道建议剖宫产术并传播该知识。结果:大部分文章(占71.8%)着重描述了支持鼓励产妇进行剖宫产的原因,有38.2%的文章描述了鼓励产科医生采取剖宫产术的原因,却很少有文章提及到产

背景:
近年来媒体对产妇剖宫产形式较为关注,这一现象提高了产妇的剖宫产率,且美国妇产科学院(ACOG)已经允许大学生可以选修剖宫产课程。

方式:
研究人员收集了2000-2013年美国报纸和杂志共131篇文章,探究并分析传媒如何报道建议剖宫产术并传播该知识。

结果:
大部分文章(占71.8%)着重描述了支持鼓励产妇进行剖宫产的原因,有38.2%的文章描述了鼓励产科医生采取剖宫产术的原因,却很少有文章提及到产妇(占11.5%)或者产科医生(占3.8%)不提倡剖宫产术的原因。建议产妇选择剖宫产术最重要的原因是剖宫产术方便省时或计划议程的安排所致(占48.9%);因剖宫产术无痛或能够减轻产妇分娩造成的恐惧这一原因的文章占17.6%。传媒中医生对剖宫产术的意见和看法提及较少且广大民众尚未熟知,但建议医生对产妇行剖宫产术的原因最常见于:避免误诊和错误治疗(占28.3%)、减少对产妇和新生儿的人身伤害(占16.8%)和时间和计划原因(占14.5%)。

结论:
传媒中提及的采用剖宫产术的建议已被产科医生和产妇广泛认同和熟知,其中产妇选择剖宫产术主要是因为方便、时间计划得当、减轻对分娩的恐惧。然而,43%的医生接受ACOG调查表明态度,并不希望采取剖宫产术,且调查也表明产妇很少真正接受剖宫产术。

原始出处:

Campo-Engelstein L, Howland LE, Parker WM, Burcher P.Scheduling the Stork: Media Portrayals of Women's and Physicians' Reasons for Elective Cesarean Delivery.Birth. 2015 Jun;42(2):181-8. doi: 10.1111/birt.12161. 

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    2015-05-26 zhangshi908

    现在舆论更倾向于剖宫产,误导大众。

    0

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    2015-05-24 ktorresjie

    大众应该对剖宫产术有合理的认识

    0

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    2015-05-23 yuchang151

    对乐

    0

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