Patients' expectation and caesarean section rate

Atiba, E. O.; Adeghe, A. J-H.; Murphy, Peter; Felmingham, J. E.; Scott, G

doi:10.1016/0140-6736(93)90111-s

Cited by 15 publications

(12 citation statements)

References 1 publication

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“…It was explained almost significantly by level of education, level of vocational training, and field of occupation. Wish to have a cesarean section (8–10) was explained only by elective cesarean section. Wish to avoid current pregnancy and childbirth (1,26) was experienced significantly more often by unemployed women compared with employed women, whereas almost significant differences occurred between unemployed women and those not employed for other reasons and between women living without a partner and those married or cohabiting.…”

Section: Discussionmentioning

confidence: 99%

“…Antenatal fears may predict pain and distress during labor (2), increase the risk of emergency cesarean section (3), and increase the risk of severe emotional instability postnatally (4–7). Furthermore, an increasing number of women request a cesarean delivery because of fear of childbirth (8–10). Many pregnant women are concerned about complications of pregnancy (11,12), and also the unborn baby.…”

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confidence: 99%

“…With respect to the manifestation of fears associated with pregnancy and childbirth, Melender and Lauri reported that these fears found expression in behaviors, emotions, and physical sensations (11). A wish to have a cesarean section because of fear of childbirth (8–10) may be seen as an attempt to escape the childbirth situation. Yali and Lobel reported that medically high‐risk women used avoidance as a way to cope with distress in pregnancy (26).…”

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confidence: 99%

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Experiences of Fears Associated with Pregnancy and Childbirth: A Study of 329 Pregnant Women

Melender

2002

Birth

280

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Women's fears that are associated with pregnancy and childbirth can be explained by different factors. It is important for perinatal health caregivers to ask pregnant women about their feelings related to the current pregnancy, childbirth, and future motherhood, and to give women who express fears an opportunity to discuss them, paying special attention to primiparas and to multiparas with negative experiences of earlier pregnancies.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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Experiences of Fears Associated with Pregnancy and Childbirth: A Study of 329 Pregnant Women

Melender

2002

Birth

280

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“…The non-clinical determinants that influence the decision to perform a caesarean include the woman's socioeconomic status,15 her expectations and preferences when giving birth,16 the source of financing,17 election of defensive medical practices under the threat of legal action,18 19 the hospitals' practice style3 20 and whether or not it is a teaching hospital 21. Other factors include financial and other incentives22 and the availability of technology.…”

Section: Discussionmentioning

confidence: 99%

Inter-hospital variations in caesarean sections. A risk adjusted comparison in the Valencia public hospitals

Librero¹

2000

Journal of Epidemiology &Amp; Community Health

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Background-The aim of this study was to describe the variability in caesarean rates in the public hospitals in the Valencia Region, Spain, and to analyse the association between caesarean sections and clinical and extra-clinical factors. Methods-Analysis of data contained in the Minimum Basic Data Set (MBDS) compiled for all births in 11 public hospitals in Valencia during 1994-1995 (n=36 819). Bivariate and multivariate analyses were used to evaluate the association between caesarean section rates and specific risk factors. The multivariate model was used to construct predictions about caesarean rates for each hospital, for comparison with rates observed. Results-Caesarean rates were 17.6% (inter-hospital range: 14.7% to 25.0%), with ample variability between hospitals in the diagnosis of maternal-fetal risk factors (particularly dystocia and fetal distress), and the indication for caesarean in the presence of these factors. Multivariate analysis showed that maternal-fetal risk factors correlated strongly with caesarean section, although extra-clinical factors, such as the day of the week, also correlated positively. After adjusting for the risk factors, the inter-hospital variation in caesarean rates persisted. Conclusions-Although certain limitations (imprecision of some diagnoses and information biases in the MBDS) make it impossible to establish unequivocal conclusions, results show a high degree of variability among hospitals when opting for caesarean section. This variability cannot be justified by diVerences in obstetric risks. (J Epidemiol Community Health 2000;54:631-636)

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“…The majority of parturients who fear childbirth request a CS (7, 11), (12). In Sweden and the UK, maternal request is the indication for 7–22% of all CSs (4, 13), (14). In 2003, fear of childbirth was the indication for 8% of all CSs at Helsinki University Central Hospital; CSs in this category comprised 2% of all deliveries.…”

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confidence: 99%