The rising caesarean section rate: A loss of obstetric skill?

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

“…wWe suggest adapting and validating a version of the birth attitudes score adapted used by White VanGompel (2018) (White VanGompel et al, 2018) to ensure all important factors influencing propensity to perform CS are captured. This score comprised Likertstyle items on factors likely to affect primary caesarean among low-risk women (including fear of vaginal birth for themselves or partner and safety of caesarean section compared to vaginal delivery for women and babies);, we suggest by including additional factors such as opinions on convenience of CS and confidence of performing a vaginal birth (as identified as to possibly influencinge decision-making by Panda et al (Panda, Begley and Daly, 2018) and Savage et al (Savage, 2007)), to ensure all important factors influencing propensity to perform CS are captured. The A key strength of our paper was the conceptual framework we developed to describe the relationship between individual provider characteristics, provider attitudes towards CS, and CS decision-making.…”

Økt forekomst av keisersnitt – årsaker og konsekvenser

“…I mange land er det imidlertid obstetrikere som tar hånd om så å si alle fødsler. Den økende forekomsten av keisersnitt i blant annet Storbritannia er delvis blitt tilskrevet liten eller ingen bruk av jordmødre på fødeavdelingene (19).…”

Does medical insurance type (private vs public) influence the physician's decision to perform Caesarean delivery?

“…Obstetric professionals have cited three main non-medical reasons for the increasing Caesarean rates: mounting medical-legal pressures, increasing maternal requests and decreased obstetric skill in vaginal delivery 7 8. Critics outside the profession have alleged that financial incentives and/or institutional convenience pressure choices for Caesarean delivery 7…”