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為縮減開(kāi)支 英國(guó)頒布剖腹產(chǎn)禁令
Hospitals ban pregnant women from having caesareans in cost-cutting move

[ 2011-08-22 16:21]     字號(hào) [] [] []  
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為縮減開(kāi)支 英國(guó)頒布剖腹產(chǎn)禁令

Some hospitals are banning caesarean sections which are popular with stars like Angelina Jolie, seen pictured in 2008 with partner Brad Pitt while pregnant with twins Knox and Vivienne(dailymail.co.uk)

Cash-strapped hospitals are banning hundreds of women from having a caesarean birth, it emerged today.

A number of NHS trusts have said they will only give the go-ahead for a c-section if the woman’s health would be put at risk by a natural birth.

They have launched the crackdown on women who are ‘too posh to push’ – saying it wastes millions of pounds of NHS money every year.

Most hospitals already discourage women from having c-sections by outlining the potential risks to both mother and baby.

But now some trusts are going further by ruling them out on financial rather than medical grounds – meaning it will be even harder for women to get a caesarean on the Health Service.

Some mothers have attacked the restrictions, saying it should be a woman’s right to choose how their baby is born.

One quarter of all births in the UK are now by caesarean section, up from just 9 percent in 1980, despite a campaign by the World Health Organisation which believes there is no justification for any country having a rate exceeding 15 percent.

A planned caesarean costs around £2,600 – much more than the £1,200 cost of a natural birth without complications; taking money from strained NHS budgets away from other priorities such as heart disease and cancer.

Economists estimate that a drop of 1 percent in the proportion of women having the surgery would save the NHS some £5.6million a year.

Dr Michael Dixon, chairman of the NHS Alliance, which represents GPs who run health service budgets, said: ‘We are going to need to balance all sorts of things in future, from cancer to heart disease. When it comes to treatments we may need to spend less on, that [caesareans] may be one.’

The bans only affect planned caesareans, not c-sections which are carried out for emergency reasons. And if a natural birth would pose a health risk for mother or baby, a c-section would be allowed.

Health experts have long argued that women should go for a natural birth because the risks are lower. A birth by c-section increases a baby’s chance of breathing difficulties, and mothers may find it harder to bond with a child while recovering from a major operation. They can also suffer potentially fatal placenta problems.

(Read by Renee Haines. Renee Haines is a journalist at the China Daily Website.)

(Agencies)

有消息稱(chēng),由于醫(yī)院資金緊張,英國(guó)成百上千位孕婦被禁止剖腹產(chǎn)子。

英國(guó)國(guó)民衛(wèi)生服務(wù)體系(NHS)基金會(huì)所轄的多家醫(yī)療機(jī)構(gòu)表示,只有當(dāng)孕婦順產(chǎn)面臨危險(xiǎn)時(shí),才會(huì)允許剖腹產(chǎn)。

這對(duì)那些號(hào)稱(chēng)“分娩用力不時(shí)髦”的孕婦們是個(gè)不小的打擊。據(jù)稱(chēng),剖腹產(chǎn)每年會(huì)浪費(fèi)掉NHS上百萬(wàn)英鎊的資金。

大多數(shù)醫(yī)院已經(jīng)勸孕婦們不要進(jìn)行剖腹產(chǎn),向她們描繪出剖腹產(chǎn)對(duì)母嬰的潛在風(fēng)險(xiǎn)。

但如今,不少基金會(huì)成員醫(yī)院出于經(jīng)濟(jì)原因,而不是醫(yī)療原因下了剖腹產(chǎn)禁令,這意味著英國(guó)女性想在NHS體系內(nèi)進(jìn)行剖腹產(chǎn)更困難了。

一些媽媽們抨擊了這一禁令,稱(chēng)怎么生寶寶是女人的權(quán)利。

英國(guó)剖腹產(chǎn)的比例目前是四分之一,而1980年這一比例僅有9%。世界衛(wèi)生組織發(fā)起的一項(xiàng)活動(dòng)稱(chēng),任何國(guó)家的剖腹產(chǎn)率高于15%都是不合理的。

一次有計(jì)劃的剖腹產(chǎn)費(fèi)用大約在2600英鎊左右,而順產(chǎn)只需1200英鎊,要低得多,而且不會(huì)引起并發(fā)癥。NHS的預(yù)算本來(lái)就捉襟見(jiàn)肘,錢(qián)應(yīng)該優(yōu)先用于治療心臟病、癌癥等疾病。

經(jīng)濟(jì)學(xué)家估計(jì),剖腹產(chǎn)率每下降1個(gè)百分點(diǎn),NHS每年就可以節(jié)省560萬(wàn)英鎊。

NHS聯(lián)盟(代表執(zhí)行醫(yī)療預(yù)算的全科醫(yī)生)主席、邁克爾?迪克遜博士說(shuō):“未來(lái)我們需要平衡從癌癥到心臟病治療等各項(xiàng)醫(yī)療經(jīng)費(fèi)。涉及到治療,我們要少花點(diǎn)兒了,剖腹產(chǎn)可能就是其中之一?!?/p>

該禁令只針對(duì)有計(jì)劃的剖腹產(chǎn),緊急實(shí)行的剖腹產(chǎn)不在此列。如果順產(chǎn)會(huì)威脅母嬰健康,允許進(jìn)行剖腹產(chǎn)。

健康專(zhuān)家們一直都認(rèn)為,孕婦應(yīng)該首選順產(chǎn),因?yàn)轱L(fēng)險(xiǎn)更低。剖腹產(chǎn)會(huì)增加寶寶呼吸困難的機(jī)率,而在術(shù)后康復(fù)的過(guò)程中,媽媽也會(huì)發(fā)現(xiàn)更難和孩子親近起來(lái)。孕婦還可能遇到致命的胎盤(pán)問(wèn)題。

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(中國(guó)日?qǐng)?bào)網(wǎng)英語(yǔ)點(diǎn)津 實(shí)習(xí)生沈清 編輯:Julie)

Vocabulary:

cash-strapped: 缺乏現(xiàn)金的;沒(méi)有足夠資本的

go-ahead: permission to proceed(放行信號(hào))

posh: smart, elegant, or fashionable; exclusive(時(shí)髦的,漂亮的)

caesarean:剖腹產(chǎn),下文中的c-section是Caesarean section(剖腹產(chǎn))的縮寫(xiě)

complication: a secondary disease, an accident, or a negative reaction occurring during the course of an illness and usually aggravating the illness(并發(fā)癥)

GP: general practitioner(全科醫(yī)生)

placenta: 胎盤(pán)

 
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