Due to their increased cost, high rates of unnecessary caesarean sections can pull resources away from other services in overloaded and weak health systems.
The lack of a standardizedinternationally-acceptedclassification system to monitor and compare caesarean section rates in a consistent and action-oriented manner is one of the factors that has hindered a better understanding of this trend.
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世卫组织建议采用罗布森分类作为国际适用的剖宫产手术分级制度。
WHO proposes adopting the Robson classification as an internationally applicable caesarean sectionclassification system.
The Robson system classifies all women admitted for delivery into one of 10 groups based on characteristics that are easily identifiable, such as number of previous pregnancies, whether the baby comes head first, gestational age, previous uterine scars, number of babies and how labour started.
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使用这一系统将有助于比较和分析不同设施内和不同设施间的剖宫产率,以及各国和各地区的剖宫产率。
Using this system would facilitate comparison and analysis of caesarean rates within and between different facilities and across countries and regions.
“ Information gathered in a standardized, uniform and reproducible way is critical for health care facilities as they seek to optimize the use of caesarean section and assess and improve the quality of care ,” explains Dr Temmerman.
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“我们敦促医疗界和决策者反思这些结论,并在可能时尽快将其付诸实施。”
“ We urge the healthcare community and decision-makers to reflect on these conclusions and put them into practice at the earliest opportunity .”
The WHO Statement on Caesarean Section Rates is based on two studies carried out by the UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme for Research, Development and Research Training in Human Reproduction .
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这一规划是联合国系统内在人类生殖研究方面的主要工具,在世界卫生组织生殖卫生和研究司内运作。
This programme is the main instrument within the United Nations system for research in human reproduction, working within the Department of Reproductive Health and Research of the World Health Organization.