Obstetrical providers' preferred mode of delivery and attitude towards non-medically indicated caesarean sections: a cross-sectional study.
Obstetrical providers' preferred mode of delivery and attitude towards non-medically indicated caesarean sections: a cross-sectional study.
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DOI：
10.1111/1471-0528.15122
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发表时间：
2018-09
期刊：
影响因子：
--
通讯作者：
Feasibility of ‘Mode of Delivery Trial’ Study Group
中科院分区：
文献类型：
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作者：
Rivo JC;Amyx M;Pingray V;Casale RA;Fiorillo AE;Krupitzki HB;Malamud JD;Mendilaharzu M;Medina ML;Del Pino AB;Ribola L;Schvartzman JA;Tartalo GM;Trasmonte M;Varela S;Althabe F;Belizán JM;Feasibility of ‘Mode of Delivery Trial’ Study Group
描述产科提供者对无医学指征剖腹产的分娩偏好和态度，包括应母亲要求，并检查提供者特征与偏好/态度之间的关联。横断面研究。阿根廷的两家公立医院和两家私立医院。提供产前护理和/或分娩/接生服务的妇产科医生和助产士。每年至少有1000例分娩的医院提供者完成了一项自我管理的匿名调查。提供者对低风险妇女的分娩偏好，对妇女首选分娩方法的看法，对妇女选择分娩方法的权利的支持，以及应产妇要求进行剖腹产的意愿。168家供应商参与了调查（覆盖率为89.8%）。在没有剖腹产医学指征的情况下，提供者（93.2%）倾向于为患者提供阴道分娩。74.4%的提供者支持患者在没有剖腹产医学指征的情况下选择分娩方式的权利，66.7%的提供者会在母亲要求下进行剖腹产，只有30.4%的提供者会考虑为自己或伴侣进行非医学指征的剖腹产。在多变量调整分析中，私营部门的提供者[比值比（OR）4.70，95% CI 1.19-18.62]和妇产科医生（OR 4.37，95% CI 1.58-12.09）比在公共/两种环境中工作的提供者或助产士更愿意根据母亲的要求进行剖腹产。尽管围绕非医学指征的剖腹产存在伦理争论，但我们观察到非常高的支持水平，特别是私营部门和妇产科医生的支持，这与阿根廷的高剖腹产率相一致。
To describe obstetrical providers’ delivery preferences and attitudes towards caesarean section without medical indication, including on maternal request, and to examine the association between provider characteristics and preferences/attitudes. Cross-sectional study. Two public and two private hospitals in Argentina. Obstetrician-gynaecologists and midwives who provide prenatal care and/or labour/delivery services. Providers in hospitals with at least 1000 births per year completed a self-administered, anonymous survey. Provider delivery preference for low-risk women, perception of women’s preferred delivery method, support for a woman’s right to choose her delivery method and willingness to perform caesarean section on maternal request. 168 providers participated (89.8% coverage rate). Providers (93.2%) preferred a vaginal delivery for their patients in the absence of a medical indication for caesarean section. Whereas 74.4% of providers supported their patient’s right to choose a delivery method in the absence of a medical indication for caesarean section and 66.7% would perform a caesarean section upon maternal request, only 30.4% would consider a non-medically indicated caesarean section for their own personal delivery or that of their partner. In multivariate adjusted analysis, providers in the private sector [odds ratio (OR) 4.70, 95% CI 1.19–18.62] and obstetrician-gynaecologists (OR 4.37, 95% CI 1.58–12.09) were more willing than either providers working in the public/both settings or midwives to perform a caesarean section on maternal request. Despite the ethical debate surrounding non-medically indicated caesarean sections, we observe very high levels of support, especially by providers in the private sector and obstetrician-gynaecologists, as aligned with the high caesarean section rates in Argentina.
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影响因子：
3.4
作者：
Betrán AP;Gulmezoglu AM;Robson M;Merialdi M;Souza JP;Wojdyla D;Widmer M;Carroli G;Torloni MR;Langer A;Narváez A;Velasco A;Faúndes A;Acosta A;Valladares E;Romero M;Zavaleta N;Reynoso S;Bataglia V
通讯作者：
Bataglia V
影响因子：
2.6
作者：
Arikan, Deniz Cemgil;Ozer, Ali;Kiran, Hakan
通讯作者：
Kiran, Hakan
影响因子：
2.5
作者：
Gamble, Jenny;Creedy, Debra K.;Beake, Sarah
通讯作者：
Beake, Sarah
DOI：
10.1016/j.ejogrb.2005.01.016
发表时间：
2005-10-01
影响因子：
2.6
作者：
Faas-Fehervary, P;Schwarz, K;Melchert, F
通讯作者：
Melchert, F
DOI：
10.1590/s0034-89102004000400002
发表时间：
2004-08-01
期刊：
Revista de Saúde Pública
影响因子：
--
作者：
Faúndes, Aníbal;Pádua, Karla Simônia de;Sousa, Maria Helena de
通讯作者：
Sousa, Maria Helena de