دوره 16، شماره 4 - ( 1-1397 )                   جلد 16 شماره 4 صفحات 234-221 | برگشت به فهرست نسخه ها


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Rafiei M, Saei Ghare Naz M, Akbari M, Kiani F, Sayehmiri F, Sayehmiri K et al . Prevalence, causes, and complications of cesarean delivery in Iran: A systematic review and meta-analysis. IJRM 2018; 16 (4) :221-234
URL: http://ijrm.ir/article-1-1059-fa.html
رفیعی محمد، ساعی قره ناز مرضیه، اکبری ملیحه، کیانی فائزه، سایه میری فاطمه، سایه میری کوروش و همکاران.. بررسی شیوع سزارین و عوارض مرتبط با آن در ایران: مرورسیستماتیک و متاآنالیز. International Journal of Reproductive BioMedicine. 1397; 16 (4) :221-234

URL: http://ijrm.ir/article-1-1059-fa.html


1- گروه آمار و اپیدمیولوژی، دانشکده پزشکی، دانشگاه علوم پزشکی اراک، اراک، ایران
2- کمیته تحقیقات دانشجویی، مرکز تحقیقات مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران
3- دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی ایلام، ایلام، ایران
4- کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی ایلام، ایلام، ایران
5- مرکز تحقیقات پروتئومیکس، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران
6- گروه آمار، دانشکده پزشکی، دانشگاه علوم پزشکی ایلام، ایلام، ایران
7- مرکز تحقیقات پروتئومیکس، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران ، vafaeereza@gmail.com
چکیده:   (5982 مشاهده)
مقدمه: افزایش کنترل نشده زایمان سزارین یکی از مشکلات عمده در سیستم بهداشتی ایران است، به طوری که جراحی سزارین شایع­ترین نوع جراحی در کل بخش­های بیمارستان­های کشور در بخش زنان و زایمان است. سزارین با عوارض متعددی همراه است.
هدف: هدف از این مطالعه بررسی شیوع، علل و عوارض سزارین در ایران است.
موارد و روش­ها: چهل و یک مقاله با توجه به معیارهای خاص مورد بررسی قرار گرفت و در یک بررسی سیستماتیک برای انجام یک مطالعه متاآنالیز گنجانده شدند. جستجوی بررسی سیستماتیک در سال­های 1999 تا 2016 در پایگاه­های SID، Iranmedx، Magiran، Medlib، PubMed و Science Direct انجام شد. وزن هر مطالعه بر اساس حجم نمونه و شیوع توزیع دوجمله­ای محاسبه شد. برای تجزیه و تحلیل داده­ها، مدل تصادفی با استفاده از نرم افزار R و STATA (نسخه 11/2) مورد استفاده قرار گرفت.
نتایج: تعداد کل نمونه مورد مطالعه 197514 زن باردار با میانگین سنی 26/72 سال بود. شیوع سزارین در ایران 48% بود. دلایل اصلی شیوع سزارین در این مطالعه، تحصیلات بالای مادران، سزارین قبلی و توصیه پزشک بود. شایع­ترین عارضه در زنان سزارین درد عضلانی بود و شایع­ترین عوارض جنینی در نوزادان، تاکی­پنه گذرا بود.
نتیجه­گیری: شیوع سزارین در ایران بسیار بالاتر از آنچه سازمان جهانی بهداشت توصیه می­کند. ضروری است که چنین پدیده­ای را کاهش دهیم، مادران را از خطرات سزارین مطلع سازیم و جلسات مشاوره­ای را نیز برای از بین بردن ترس مادران از زایمان واژینال برگزارکنیم.
واژه‌های کلیدی: سزارین، ایران، شیوع، متا آنالیز.
نوع مطالعه: Review article |

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