Personal birth preferences and actual mode of delivery outcomes of obstetricians and gynaecologists in South West England; with comparison to regional and national birth statistics
| Autor: | Katie Lightly, Narges Dailami, Dina Bisson, Elisabeth Shaw |
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| Rok vydání: | 2014 |
| Předmět: |
Male
First-born child medicine.medical_specialty medicine.medical_treatment Population Choice Behavior Obstetrics and gynaecology Statistics Humans Medicine Caesarean section education health care economics and organizations reproductive and urinary physiology Response rate (survey) education.field_of_study Pregnancy Cesarean Section business.industry Vaginal delivery Obstetrics Obstetrics and Gynecology Delivery Obstetric medicine.disease female genital diseases and pregnancy complications Parity Mode of delivery England Reproductive Medicine Elective Surgical Procedures Gynecology Female business |
| Zdroj: | European Journal of Obstetrics & Gynecology and Reproductive Biology. 181:95-98 |
| ISSN: | 0301-2115 |
| Popis: | Objective To determine personal birth preferences of obstetricians in various clinical scenarios, in particular elective caesarean section for maternal request. To determine actual rates of modes of deliveries amongst the same group. To compare the obstetrician's mode of delivery rates, to the general population. Study design Following ethical approval, a piloted online survey link was sent via email to 242 current obstetricians and gynaecologists, (consultants and trainees) in South West England. Mode of delivery results were compared to regional and national population data, using Hospital Episode Statistics and subjected to statistical analysis. Results The response rate was 68%. 90% would hypothetically plan a vaginal delivery, 10% would consider a caesarean section in an otherwise uncomplicated primiparous pregnancy. Of the 94/165 (60%) respondents with children (201 children), mode of delivery for the first born child; normal vaginal delivery 48%, caesarean section 26.5% (elective 8.5%, emergency 18%), instrumental 24.5% and vaginal breech 1%. Only one chose an elective caesarean for maternal request. During 2006–2011 obstetricians have the same overall actual modes of birth as the population ( p =0.9). Conclusions Ten percent of obstetricians report they would consider requesting caesarean section for themselves/their partner, which is the lowest rate reported within UK studies. However only 1% actually had a caesarean solely for maternal choice. When compared to regional/national statistics obstetricians currently have modes of delivery that are not significantly different than the population and suggests that they choose non interventional delivery if possible. |
| Databáze: | OpenAIRE |
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