Turkish obstetricians' personal preference for mode of delivery and attitude toward cesarean delivery on maternal request
Turkish obstetricians' personal preference for mode of delivery and attitude toward cesarean delivery on maternal request
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DOI：
10.1007/s00404-010-1682-z
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发表时间：
2011-09-01
影响因子：
2.6
通讯作者：
Kiran, Hakan
中科院分区：
文献类型：
--
作者：
Arikan, Deniz Cemgil;Ozer, Ali;Kiran, Hakan
(1)调查土耳其在职产科医生剖宫产率及其为自己/伴侣选择剖宫产方式的原因。(2)调查土耳其在职产科医生对产妇要求剖宫产（CDMR）的态度、做法和信念。这是在第七届土耳其妇产科学会大会上进行的一项描述性研究。数据收集采用自填问卷。大会期间，从参加大会的产科医生中随机抽取500人；由于房间数量的原因，问卷（共500份）和同意书每四个房间分发一次。被抽样的产科医生被要求将填写好的问卷和签署的同意书交回大会咨询台。共有387名（77.4%）产科医生回应。在受访者（如果是女性）或其伴侣（如果是男性）中，239名（61.8%）受访者至少经历过一次剖宫产手术，其中212名（88.7%）是首次选择性剖宫产。影响产科医生为自己/伴侣选择CS的最常见原因是减少肛肠创伤（63.6%）。此外，158名（40.8%）答复者认为，每个妇女都有权要求剖宫产作为一种分娩方式。约一半的应答者（53.2%）表示会进行患者要求的CS。产科医生因产妇要求而实施CS的最常见原因是“患者及其伴侣的焦虑和他们的坚持”。三分之二的土耳其产科医生选择CS作为自己/伴侣的分娩方式。此外，在我们的研究中，有一半的产科医生认为妇女有权要求和获得CDMR，其中一半的人会同意执行一个。
(1) To investigate the cesarean rate among actively practicing obstetricians in Turkey and reasons why they choose this mode of delivery for themselves/partners. (2) To investigate the attitudes, practices, and beliefs with respect to cesarean delivery on maternal request (CDMR) among actively practicing obstetricians in Turkey.This is a descriptive study performed at 7th Congress Of Turkish Society Of Gynecology and Obstetrics. A self-administered questionnaire was used for data collection. During the congress, from the obstetricians attending the congress, 500 were randomly selected; due to the room numbers, the questionnaires (total, 500) and the consent forms were distributed every fourth room. The sampled obstetricians were instructed to return the completed questionnaires and signed consent forms to the congress information desk located throughout the congress. In total, 387 (77.4%) obstetricians responded.Of the respondents (if female) or their partners (if male), 239 (61.8%) respondents had undergone at least one previous cesarean section (CS), and, of these, 212 (88.7%) were primary elective cesarean deliveries. The most common reason influencing the decision of obstetricians in choosing CS for themselves/partners was reduced anorectal trauma (63.6%). In addition, 158 (40.8%) of the respondents believe that every woman has the right to request a cesarean as a mode of delivery. About half of the respondents (53.2%) said that they would perform a patient-requested CS. The most common reason why obstetricians perform CS due to maternal request was 'anxiety of patient and her partner and due to their insistence'.Two-thirds of Turkish obstetricians prefer CS as mode of delivery for themselves/partners. Also half of the obstetricians in our study believe that a woman has the right to request and obtain CDMR, and half of them would agree to perform one.