Personal birth preferences and actual mode of delivery outcomes of obstetricians and gynaecologists in South West England; with comparison to regional and national birth statistics

Lightly, Katie; Shaw, Elisabeth; Dailami, Narges; Bisson, D

doi:10.1016/j.ejogrb.2014.07.005

Cited by 6 publications

(6 citation statements)

References 16 publications

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“…although in Sweden (Josefsson et al, 2011) male and female providers' report similar "reasonable" CS rates for their hospital (13.7% vs 13.1%, p=0.028). In the United Kingdom, male providers were more likely to opt for a CS "for themselves or their partners" than female providers (13% vs 9%, no p-value reported) (Lightly et al, 2014).…”

Section: Association Between Individual Provider Characteristics and mentioning

confidence: 94%

The influence of individual provider characteristics and attitudes on caesarean section decision-making: a global review

Mulchandani

Power

Cavallaro

2019

Journal of Obstetrics and Gynaecology

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The influence of individual provider characteristics and attitudes on caesarean section decision-making Caesarean section (CS) rates have beenhave risen rising worldwide in the past two decades, particularly in middle and high-income countries. In addition to changing maternal and health system factors, there is growing evidence that provider factors may contribute to rising unnecessary caesareans. The aim of this review aimed was to assess the evidence for the associations between individual provider characteristics, attitudes towards CS and decision-making for CS. A search was conducted in May 2018 in PubMed and Web of Science with 23 papers included in our final review. Our results show that higher anxiety scores and more favourable opinions of CS were associated with increased likelihood of performing CS.Our These results findings highlight a need for appropriate interventions to target provider attitudes towards CS to reduce unnecessary procedures.

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Section: Association Between Individual Provider Characteristics and mentioning

confidence: 94%

The influence of individual provider characteristics and attitudes on caesarean section decision-making: a global review

Mulchandani

Power

Cavallaro

2019

Journal of Obstetrics and Gynaecology

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“…Studies indicate that there are variations in the personal preferences of MCPs towards CS across different countries. Low rates of preference for CS among obstetricians were reported in the UK (10%), Jordan (7%), and Denmark (1%) [13, 25, 26]. About one third of obstetricicans in Canada support CSMR [27].…”

Section: Maintextmentioning

confidence: 99%

Is it the decision of women to choose a cesarean section as the mode of birth? A review of literature on the views of stakeholders

Loke

Davies

Mak

2019

BMC Pregnancy Childbirth

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Background A debate on the decision of women to choose a cesarean section as the mode of birth in uncomplicated pregnancies from the views of relevant stakeholders. Main text Using five electronic databases, a literature search was conducted for studies published from January 2003 to December 2016. Studies on a woman’s right to request or to choose a cesarean section as the mode of birth in uncomplicated pregnancies were included. Fifty-five articles were identified (39 research studies and 16 opinion-based articles). Among health professionals, obstetricians were the most supportive of this right. It is argued that although women reported wanting to choose the mode of birth, with the safety of their babies as the priority, they also relied on the advice of their maternity care provider and considered it the responsibility of their obstetrician to make the decision. A higher proportion of the general public in countries with well-developed private healthcare accepted that a woman should have the freedom to choose the mode of birth. Conclusions This review provided a debate on the choice of pregnant women in uncomplicated pregnancies on the mode of birth from various stakeholders. Further research is required to explore what the meanings of autonomy of pregnant women to choose the mode of birth, and the process that they go through when making this decision. Electronic supplementary material The online version of this article (10.1186/s12884-019-2440-2) contains supplementary material, which is available to authorized users.

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“…In this study, 10% preferred an elective C-section for themselves, or rather their partners. Between the years 2006 and 2011, the mode of delivery within this population did not differ from that of the general British population (p = 0.9) 14 . In another study, conducted by Gonen et al, involving Israeli gynecologists, a similar percentage, more precisely 9%, preferred C-sections.…”

Section: Discussionmentioning

confidence: 68%

“…Hier entschieden sich 10% für eine elektive Sectio für sich oder ihre Partnerin. Im untersuchten Zeitraum von 2006 bis 2011 unterschieden sich die Geburtsmodi dieses Kollektivs nicht von der britischen Gesamtbevölkerung (p = 0,9) 14 . Auch Gonen et al kamen in ihrer Studie unter 650 israelischen Gynäkologinnen und Gynäkologen auf eine persönliche Sectiopräferenz von 9%.…”

Section: Diskussionunclassified

Personal Preference of Mode of Delivery. What do Urogynaecologists choose? Preliminary Results of the DECISION Study

Bihler

Tunn

Reisenauer

et al. 2017

Geburtshilfe Frauenheilkd

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Introduction Currently, almost every third child in Germany is delivered by caesarean section. Apart from straightforward and clear indications for caesarean section which account for approx. 10%, the large proportion of relative indications in particular needs to be critically reviewed if the current C-section rate is to be effectively lowered. It is more than doubtful, however, whether this can be a realistic goal in Germany, especially in the context of international developments. All studies on this topic demonstrate that the personal attitude of the obstetric team has a considerable influence on the pregnant womanʼs personally preferred mode of delivery. Therefore, in the first part of the DECISION study, the personal preferences of urogynaecologists were evaluated regarding the best suitable mode of delivery. Material and Methods All 432 delegates at the 9th German Urogynaecology Congress in Stuttgart in April 2017 were invited to participate in an online questionnaire study. The questionnaire was developed especially for this study. Results Of the 432 registered delegates, 189 (43.8%) participated in the survey. 84.7% (n = 160) of the study participants would prefer a vaginal delivery, in an otherwise uncomplicated pregnancy. Only 12.2% (n = 23) opted for an elective caesarean section. The main reasons stated for this decision were concerns about incontinence (87.5%) and pelvic floor trauma (79.2%). Amongst the study participants, 83.6% would like to be part of a risk stratification system presented in the questionnaire which, with the aid of specific parameters, is intended to allow early identification of a population with a high risk of developing pelvic floor disorders. There was also great interest in postpartum pelvic floor recovery (97.8%) and an associated optional pessary therapy (64.4%). The type of delivery already experienced (vaginal delivery vs. primary caesarean section) and parity also reveals to have a significant influence on the personal preferred mode of delivery as well. Conclusions Urogynaecologists prefer vaginal delivery for themselves. There is a great interest to participate in a risk stratification process in order to approach childbirth in an individualized and risk-adapted manner.

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Personal birth preferences and actual mode of delivery outcomes of obstetricians and gynaecologists in South West England; with comparison to regional and national birth statistics

Cited by 6 publications

References 16 publications

The influence of individual provider characteristics and attitudes on caesarean section decision-making: a global review

The influence of individual provider characteristics and attitudes on caesarean section decision-making: a global review

Is it the decision of women to choose a cesarean section as the mode of birth? A review of literature on the views of stakeholders

Personal Preference of Mode of Delivery. What do Urogynaecologists choose? Preliminary Results of the DECISION Study

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