The association between methods of delivery and health status, medical consumption among children before 3 years old
| Autor: | Hsu,Chiao-Ling, 許巧玲 |
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| Rok vydání: | 2002 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 90 The caesarean section (CS) rate in Taiwan was maintained as above 32%, which was significantly higher than 10-15% suggested as optimal rate by World Health Organization. Approximately, half of the CS performed in Taiwan was not promptly medical necessity. Besides, many studies elaborated that medically unnecessary CS could lead to unexpected maternal mortality and morbidity, and a cost of over US$1 billion each year. Women can make their own choice of delivering the baby due to the development of modern technology. However, studies concerning the subsequent effects of children’s health and medical consumption from different methods of delivery were rarely documented. This study aimed to provide information on the association between delivery methods and health status, medical consumption among children before 3 years old. The data was collected from a cohort of newborn from a medical center during the whole year of 1997. The follow-up was conducted through the end of 2000. The data has demonstrated that the risk of diseases and total medical consumption of children before 3 years old were significantly correlated with methods of delivery and pregnant indications. Among them, the risk of diseases and medical consumption were higher in children with both emergency and planned CS than that of vaginal deliveries (NSD). However, children with elective CS were not significantly different with vaginal deliveries on risk of diseases and medical consumption. The data has also shown that children’s medical consumption was higher while the mother having pregnant indications such as co-morbidity or complications. The children’s total medical consumption before three years old from high to low among methods of delivery was CS with complication (mean: NT$81,197), NSD with complication (mean: NT$50,166), CS without complication (mean: NT$32,572), NSD without complication (mean: NT$26,147). The results have suggested that a child’s health and medical consumption before 3 years old could be related with the methods of delivery and mother’s pregnant condition. There are clues of future perspectives for health policy makers, hospital administrators, health insurance providers, and insurance carriers. Firstly, a child’s risk of disease and medical consumption, to a certain extent, are predictable from conditions during pregnant and on delivering. Secondly, some policies on risk-adjusted mechanism are to be considered from parties of health care providers, insurance provider, and insurance carriers. Lastly, the findings of this thesis provide information for health education encountered myths of safety and benefits from choosing methods of delivery for newborns. |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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