Caesarean section on demand: Influence of personal birth experience and working environment on attitude of German gynaecologists
Caesarean section on demand: Influence of personal birth experience and working environment on attitude of German gynaecologists
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DOI：
10.1016/j.ejogrb.2005.01.016
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发表时间：
2005-10-01
影响因子：
2.6
通讯作者：
Melchert, F
中科院分区：
文献类型：
--
作者：
Faas-Fehervary, P;Schwarz, K;Melchert, F
目的：通过对德国妇产科医师的调查，了解其个人出生经历、工作环境、个人生育经历对按需剖宫产态度的影响。材料与方法：2002-2003年，巴登-符腾堡州2106名妇产科医生接受了一份匿名调查问卷，内容涉及对剖腹产的需求态度、个人履历、生育经历和工作环境。共收回问卷719份，并进行统计分析。结果：59%的参与者普遍赞成剖腹产，年龄、个人生育经历和工作领域的差异有统计学意义。当被问及低风险怀孕后自己或伴侣的首选分娩方式时，90%的妇科医生选择阴道分娩。这种认同与父母身份、个人生育经历和工作环境有统计学上的显著关系。结论：生平资料、个人出生经历和工作环境影响择期剖宫产的态度。虽然90%的人会选择阴道分娩作为自己或伴侣的最佳医疗实践，但59%的医生赞成按需剖腹产的一般机会。这表明，不仅最好的医疗实践，而且病人的自主权和法医方面似乎起着重要作用。2005爱思唯尔爱尔兰有限公司版权所有。
Objective: We performed a survey among German obstetricians and gynecologists in order to evaluate the influence of biographic data, working environment and personal birth experience on the attitude towards Cesarean Section on demand.Material and methods: All 2106 board-certified gynecologists in Baden-Wurttemberg received an anonymous questionnaire in 2002-2003 concerning attitude towards C-section on demand, biographical data, personal birth experience and working environment. Seven hundred and nineteen questionnaires were returned and entered into statistical analysis.Results: General approval of C-section was in 59% of all participants, with huge statistically significant variations according to age, personal birth experience and working field. When asked for their preferred way of delivery for themselves or their partner after a low-risk pregnancy, 90% of the responding gynecologists opted for vaginal delivery. The approval depended statistically significant on parenthood, personal birth experience and working environment.Conclusions: Biographical data, personal birth experience and working environment influence the attitude towards elective Cesaran section. Although 90% would chose vaginal delivery for themselves or their partner as best medical practice, 59% of the physicians approve of the general opportunity of C-section on demand. This shows, that not only best medical practice, but also patient autonomy and forensic aspects seem to play an important role. (c) 2005 Elsevier Ireland Ltd. All rights reserved.