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下面声明的关键信息是,努力的目标应是确保按照妇女的需要进行剖宫产分娩,而不是努力完成剖宫产的具体比率。剖宫产手术应当仅在医疗必需时才进行,因为这样的手术能导致并发症,特别是在设施匮乏或能力不足以进行安全手术或治疗并发症的环境下尤其如此。这条消息意味着为了计划和质量控制,医疗保健设施应该用一种可靠的系统监测剖宫产率。世界卫生组织提议将罗布森分类系统*(Robson classification system)作为一个评估、监测和比较剖宫产率的全球标准。
The key message stated below is that the goal of the effort should be to ensure cesarean delivery to the needs of women rather than to work towards the exact rate of cesarean delivery. Caesarean surgery should be performed only when medically necessary, as such procedures can lead to complications, especially in settings where there is a lack of facilities or capacity to perform safe surgeries or to treat complications. The news means that for planning and quality control, health care facilities should use a reliable system to monitor cesarean section rates. WHO proposes using the Robson classification system as a global standard for assessing, monitoring and comparing caesarean section rates.