Caesarean section on request: Are there loco-regional factors influencing maternal choice? An Italian experience
| Autor: | Massimo Franchi, Alfredo Mancuso, Giusi Fanara, A. De Vivo, A. Albiero, Annamaria Giacobbe, Antonio Maria Priolo |
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| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty Pediatrics Attitude of Health Personnel medicine.medical_treatment Anxiety Maternal choice Pregnancy Surveys and Questionnaires On demand medicine Humans Caesarean section Spouses reproductive and urinary physiology Cesarean Section business.industry Significant difference Obstetrics and Gynecology maternal request Fear obstetricians' experience Northern italy Obstetrics Italy Patient Satisfaction caesarean section Health Care Surveys Family medicine regional differences Female Ultrasonography medicine.symptom business Regional differences |
| Zdroj: | Journal of Obstetrics and Gynaecology. 28:382-385 |
| ISSN: | 1364-6893 0144-3615 |
| Popis: | We aimed to evaluate regional differences in women's motivations and in obstetricians' attitudes re 'caesarean section on request' between obstetricians practicing in Southern and Northern Italy. An anonymous questionnaire was sent to 70 randomly selected specialists practicing in the Veneto region and Sicily. Demographic characteristics, percentage of caesarean section, increase of caesarean section on demand, maternal motivations and the role played by anxiety, relatives and instrumental examinations were analysed. Moreover, obstetricians' opinion and their behaviour in fulfilling, or not, the maternal request were evaluated. Among the emotional reasons, fear of pain was more frequently reported in Sicily (p = 0.045), and previous negative experiences and gestational anxiety in the Veneto region (p = 0.009; p = 0.001). As regards instrumental examinations influencing maternal request, a significant difference was found for ultrasonography (28% in Sicily vs 60% in Veneto, p = 0.002). The husband's role was more frequently reported in the Veneto region (p = 0.006). Obstetricians of both regions noticed a rising rate of caesarean section on maternal request. The reasons for this upward trend are complex, vary from one region to another and are influenced by local socio-cultural and healthcare background. |
| Databáze: | OpenAIRE |
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