Survey of obstetricians' personal preference and discretionary practice

Al-Mufti, Raghad; McCarthy, Andrew; Fisk, Nicholas M.

doi:10.1016/s0301-2115(96)02692-9

Cited by 207 publications

(127 citation statements)

References 8 publications

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“…2 A recent study found that 31% of female British obstetricians would choose cesarean delivery without any clinical indication because of concern about severe perineal damage. 3 Any factor that increases the real or perceived risk of perineal trauma is important. Although increasingly popular, epidural analgesia has not been extensively studied as a risk factor for perineal damage.…”

mentioning

confidence: 99%

Epidural Analgesia and Severe Perineal Laceration in a Community-based Obstetric Practice

Carroll

Engelken²,

Mosier³

et al. 2003

The Journal of the American Board of Family Medicine

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Background: This study assessed whether epidural analgesia was an independent risk factor for severe perineal laceration.Methods: A retrospective cohort study analyzed 2,759 patients at St. Francis Regional Medical Center who had vertex, spontaneous or induced, singleton, live, vaginal deliveries of neonates of at least 36 weeks' gestation. Patients with diabetes or severe cardiac disease were excluded. Outcomes measured were third-or fourth-degree perineal lacerations.Results: Overall rate of severe perineal laceration was 6.38% (n ‫؍‬ 176). Epidural analgesia was given to 634 (

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mentioning

confidence: 99%

Epidural Analgesia and Severe Perineal Laceration in a Community-based Obstetric Practice

Carroll

Engelken²,

Mosier³

et al. 2003

The Journal of the American Board of Family Medicine

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“…Therefore any increase in CS on demand does not explain the huge increase in CS rates. Several studies have been done concerning the obstetricians' and gynaecologists' own preferences beginning with Al-Mufti's study of London obstetricians published in 1997 where 17 % expressed the wish to have a CS for themselves in an uncomplicated pregnancy at term (Al-Mufti et al 1997). A follow-up study by Groom 2002 verified Al-Mufti s results (Groom et al 2002).…”

Section: Introductionmentioning

confidence: 94%

Attitudes towards mode of birth among Swedish midwives

et al. 2010

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Short running title: Attitudes towards mode of delivery2 Attitudes towards mode of delivery 2 Abstract Objective: To investigate midwives' attitudes and opinions on mode of delivery Design: Exploratory descriptive study. Data were collected via study specific questionnaires.Setting: South-eastern Sweden.Participants: All midwives working in two counties. Findings:Regardless of age, experience and working field the midwives considered a reasonable caesarean section (CS) rate to be around 11.5 %. None of the participants thought that the CS rate was too low. Midwives younger than 50 years of age tended to consider the current rate of CS to be too high (p = 0.059). Midwives working at a delivery ward stated that they thought the current CS rate was too high compared with midwives who worked at the antenatal care clinics (ACC) (p< 0. 001).Midwives working at a ACC agreed to the statements "One should agree to a woman's right to have an elective CS" (p<0.001) and "elective CS is the best choice for a woman with fear of delivery" (p = 0.046) to a higher degree than their colleagues at the delivery wards, no matter of age or working experience. Key conclusions and implications for practice:Midwives in the ACC setting are more willing to accept CS at the woman's request and for women with fear of delivery. It is of importance that ACC caregivers and the professionals at the delivery ward increase their collaboration with one another in an attempt to reach a consensus. 3Attitudes towards mode of delivery 3

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“…In a much publicized study 31% of female obstetricians in London declared that they would choose an elective caesarean section for themselves. 6 Not surprisingly, 69% of obstetricians when faced with a woman requesting a caesarean section would comply with such a wish. 7 The emergence of the maternal request caesarean section, as an entity, results from both the willingness of women to accept this intervention as well as the willingness of their obstetricians to accede to this request.…”

Section: Introductionmentioning

confidence: 99%

Review of Cesarean Section on Maternal Request in a Tertiary Care Institute; Scenario in Developing Country

Panda

Jha

Singh

2015

Kathmandu Univ. Med. J.

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Mother requesting of caesarean reflects a belief among society that elective caesarean safer than vaginal delivery in term of fetus and mother. Although the study data neglecting the facts other skewed part in this issue is consideration of resources, as in developing countries, where maternal mortality is still high due to lack of adequate resources. Mother coming to obstetrician with mother's request should individualize in every case considering mother's argument, society and evidence base guideline.

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Survey of obstetricians' personal preference and discretionary practice

Cited by 207 publications

References 8 publications

Epidural Analgesia and Severe Perineal Laceration in a Community-based Obstetric Practice

Epidural Analgesia and Severe Perineal Laceration in a Community-based Obstetric Practice

Attitudes towards mode of birth among Swedish midwives

Review of Cesarean Section on Maternal Request in a Tertiary Care Institute; Scenario in Developing Country

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