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Tytuł pozycji:

Obstetrical providers' preferred mode of delivery and attitude towards non-medically indicated caesarean sections: a cross-sectional study.

Tytuł :
Obstetrical providers' preferred mode of delivery and attitude towards non-medically indicated caesarean sections: a cross-sectional study.
Autorzy :
Rivo, J. C.
Amyx, M.
Pingray, V.
Casale, R. A.
Fiorillo, A. E.
Krupitzki, H. B.
Malamud, J. D.
Mendilaharzu, M.
Medina, M. L.
del Pino, A. B.
Ribola, L.
Schvartzman, J. A.
Tartalo, G. M.
Trasmonte, M.
Varela, S.
Althabe, F.
Belizán, J. M.
Feasibility of ‘Mode of Delivery Trial’ Study Group
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Temat :
CESAREAN section
CLINICAL indications
HOSPITALS
PRENATAL care
ATTITUDE (Psychology)
HEALTH attitudes
MEDICAL personnel
OBSTETRICS
PATIENT satisfaction
ELECTIVE surgery
PATIENTS' rights
CROSS-sectional method
PSYCHOLOGY
Źródło :
BJOG: An International Journal of Obstetrics & Gynaecology; Sep2018, Vol. 125 Issue 10, p1294-1302, 9p, 4 Charts
Terminy geograficzne :
ARGENTINA
Czasopismo naukowe
Objective: To describe obstetrical providers' delivery preferences and attitudes towards caesarean section without medical indication, including on maternal request, and to examine the association between provider characteristics and preferences/attitudes.Design: Cross-sectional study.Setting: Two public and two private hospitals in Argentina.Population: Obstetrician-gynaecologists and midwives who provide prenatal care and/or labour/delivery services.Methods: Providers in hospitals with at least 1000 births per year completed a self-administered, anonymous survey.Main Outcome Measures: Provider delivery preference for low-risk women, perception of women's preferred delivery method, support for a woman's right to choose her delivery method and willingness to perform caesarean section on maternal request.Results: 168 providers participated (89.8% coverage rate). Providers (93.2%) preferred a vaginal delivery for their patients in the absence of a medical indication for caesarean section. Whereas 74.4% of providers supported their patient's right to choose a delivery method in the absence of a medical indication for caesarean section and 66.7% would perform a caesarean section upon maternal request, only 30.4% would consider a non-medically indicated caesarean section for their own personal delivery or that of their partner. In multivariate adjusted analysis, providers in the private sector [odds ratio (OR) 4.70, 95% CI 1.19-18.62] and obstetrician-gynaecologists (OR 4.37, 95% CI 1.58-12.09) were more willing than either providers working in the public/both settings or midwives to perform a caesarean section on maternal request.Conclusions: Despite the ethical debate surrounding non-medically indicated caesarean sections, we observe very high levels of support, especially by providers in the private sector and obstetrician-gynaecologists, as aligned with the high caesarean section rates in Argentina.Tweetable Abstract: Non-medically indicated c-section? 74% of sampled Argentine OB providers support women's right to choose. [ABSTRACT FROM AUTHOR]
Copyright of BJOG: An International Journal of Obstetrics & Gynaecology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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