A critique of the literature on women's request for cesarean section
A critique of the literature on women's request for cesarean section
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DOI：
10.1111/j.1523-536x.2007.00193.x
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发表时间：
2007-12-01
影响因子：
2.5
通讯作者：
Beake, Sarah
中科院分区：
文献类型：
--
作者：
Gamble, Jenny;Creedy, Debra K.;Beake, Sarah
背景：女性生育偏好对剖宫产率上升的影响尚不确定，而且可能会发生变化。对有关妇女剖腹产请求的出版物的审查探讨了与产妇护理和决策的社会、文化和政治经济背景有关的假设。方法：使用以下术语对主要数据库进行检索：“产妇要求的剖腹产”、“决策”、“患者参与”、“患者决策”、“患者满意度”、“患者偏好”、“产妇选择”、“按需”和“消费者需求”。检索到 17 篇研究女性偏好分娩类型的论文。结果：没有研究系统地检验卫生专业人员向女性提供的信息。一些研究没有充分认识到与妇女要求剖腹产有关的其他潜在影响，包括医生是否建议阴道分娩、妇女在怀孕期间获得助产护理、信息提供、护理质量和文化问题。应谨慎解释提供护理的方式、观察妇女与从业者之间的互动并分析护理的背景。
Background: The influence of women's birth preferences on the rising cesarean section rates is uncertain and possibly changing. This review of publications relating to women's request for cesarean delivery explores assumptions related to the social, cultural, and political-economic contexts of maternity care and decision making. Method: A search of major databases was undertaken using the following terms: "c(a)esarean section'' with maternal request,'' "decisionmaking,'' "patient participation,'' "decision-making- patient,'' "patient satisfaction,'' "patient preference,'' "maternal choice,'' "on demand,'' and "consumer demand.'' Seventeen papers examining women's preferred type of birth were retrieved. Results: No studies systematically examined information provided to women by health professionals to inform their decision. Some studies did not adequately acknowledge the influence of obstetric and psychological factors in relation to women's request for a cesarean section. Other potential influences were poorly addressed, including whether or not the doctor advised a vaginal birth, women's access to midwifery care in pregnancy, information provision, quality of care, and cultural issues. Discussion: The psychosocial context of obstetric care reveals a power imbalance in favor of physicians. Research into decision making about cesarean section that does not account for the way care is offered, observe interactions between women and practitioners, and analyze the context of care should be interpreted with caution.