Predictors of planned caesarean section births in a sample of Romanian women

Hentes, Emanuel; Ungureanu, Marius; Forray, Alina Ioana

doi:10.1002/hpm.3424

Cited by 2 publications

(2 citation statements)

References 47 publications

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“…It was hosted through an online portal ( http://www.babiesbornbetter.org/surveyportal ) and promoted online through social media (Facebook and Twitter), posts on COST Action member blogs and websites, discussion forums and maternity‐related websites in each participating country. Papers of Austria, 22 Norway, 23 Spain, 24 Romania, 25 Croatia, 26 Iceland 27 and Portugal 28 have been produced on the B3 data, but none from Lithuania. To date, three waves of the survey have been completed, version one was open from February 2014 to December 2015.…”

Section: Methodsmentioning

confidence: 99%

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‘To be Informed and Involved’: Women's insights on optimising childbirth care in Lithuania

Širvinskienė

Grincevičienė

Pranskevičiūtė-Amoson

et al. 2023

Health Expectations

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Introduction The user expectations and experiences of healthcare services are acknowledged as components of the quality of healthcare evaluations. The aim of the study is to analyse women's experiences and views on childbirth care in Lithuania. Methods The study used the Babies Born Better (B3) online survey as the data collection instrument. The B3 is an ongoing longitudinal international project, examining the experiences of intrapartum care and developed as part of EU‐funded COST Actions (IS0907 and IS1405). Responses to open‐ended questions about (1) the best things about the care and (2) things in childbirth care worth changing are included in the current analysis. The participants are 373 women who had given birth within 5 years in Lithuania. A deductive coding framework established by the literature review was used to analyse the qualitative data. The framework involves three main categories: (1) the service, (2) the emotional experience and (3) the individually experienced care, each further divided into subcategories. Results Reflecting the experience and views regarding the service at birthplace women wished empowerment, support for their autonomy and to be actively involved in decisions, the need for privacy, information and counselling, especially about breastfeeding. In terms of emotional experience, women highlighted the importance of comprehensibility/feeling of safety, positive manageability of various situations and possibilities for bonding with the newborn. Individually experienced care was described by feedback on specific characteristics of care providers, such as competence, personality traits, time/availability and encouragement of esteem in women in childbirth. The possibilities of homebirth were also discussed. The findings reflected salutogenic principles. Key Conclusions The findings suggest that the Lithuanian healthcare system is in a transition from paternalistic attitude‐based practices to a shift towards patient‐oriented care. Implementation of the improvements suggested for women in childbirth care in Lithuania would require some additional services, improved emotional and intrapersonal aspects of care and a more active role for women. Patient/Public Contribution Patients and the public contributed to this study by spreading information about surveys and research findings through their involvement in service user groups that have an interest in maternity care. Members of the patients' groups and the public were involved in the discussion of the results.

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Section: Methodsmentioning

confidence: 99%

“…babiesbornbetter.org/surveyportal) and promoted online through social media (Facebook and Twitter), posts on COST Action member blogs and websites, discussion forums and maternity-related websites in each participating country. Papers of Austria, 22 Norway, 23 Spain, 24 Romania, 25 Croatia, 26 Iceland 27 and Portugal 28…”

Section: Procedures and Samplementioning

confidence: 99%

‘To be Informed and Involved’: Women's insights on optimising childbirth care in Lithuania

Širvinskienė

Grincevičienė

Pranskevičiūtė-Amoson

et al. 2023

Health Expectations

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Evaluating the Impact of Maternal Lipid Profiles on Fetal Cardiac Function at Mid-Gestation: An Observational Study

Belovan,

Popa,

Citu

et al. 2024

Clinics and Practice

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Background: Maternal dyslipidemia during pregnancy may influence fetal cardiac development and function, potentially predisposing offspring to cardiovascular diseases later in life. This study aims to evaluate the relationship between maternal lipid profiles and fetal cardiac function at mid-gestation, utilizing detailed echocardiographic assessments. Methods: In this prospective cohort study conducted at the Obstetrics and Gynecology Clinic of the Timișoara Municipal Emergency Hospital, 19 pregnant women aged 27–40 years were recruited and divided into two groups based on their triglyceride levels: Group A (triglycerides ≤ 150 mg/dL, n = 48) and Group B (triglycerides > 150 mg/dL, n = 28). Maternal demographic data and lipid profiles were recorded. Fetal echocardiographic measurements, including global longitudinal strain and ventricular function parameters, were obtained between 20 and 24 weeks of gestation. Statistical analyses, including subgroup comparisons, correlations, and regression analyses, were performed. Results: Maternal BMI was significantly higher in Group B compared to Group A (31.94 ± 2.80 vs. 27.01 ± 2.40 kg/m2, p < 0.001). Group B showed higher mean triglyceride levels (163.43 ± 11.34 mg/dL) compared to Group A (131.42 ± 10.57 mg/dL, p < 0.001). Fetal echocardiographic measurements indicated reduced global longitudinal strain in fetuses of Group B mothers (LV strain: −19.86% ± 6.83% vs. −26.14% ± 5.92%, p = 0.017). Significant correlations were found between maternal triglyceride levels and fetal LV strain (r = 0.536, p = 0.019). Regression analysis identified maternal triglyceride levels and BMI as significant predictors of reduced fetal LV strain (β = 0.45, p = 0.021 and β = 0.39, p = 0.038, respectively). Conclusions: Elevated maternal triglyceride levels, LDL cholesterol, and BMI are associated with altered fetal cardiac function parameters at mid-gestation, suggesting that maternal lipid profiles may impact fetal cardiac development. These findings underscore the importance of monitoring lipid levels during pregnancy and suggest potential benefits of managing dyslipidemia to improve fetal cardiac outcomes. However, the study included only a small sample; therefore, the study needs to be continued with a larger group.

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Predictors of planned caesarean section births in a sample of Romanian women

Cited by 2 publications

References 47 publications

‘To be Informed and Involved’: Women's insights on optimising childbirth care in Lithuania

‘To be Informed and Involved’: Women's insights on optimising childbirth care in Lithuania

Evaluating the Impact of Maternal Lipid Profiles on Fetal Cardiac Function at Mid-Gestation: An Observational Study

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