The influence of maternal request on the elective caesarean section rate
Autor: | Nikki V. Jackson, L. M. Irvine |
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Rok vydání: | 1998 |
Předmět: |
medicine.medical_specialty
business.industry Vaginal delivery Obstetrics medicine.medical_treatment Patient interview Obstetrics and Gynecology medicine Caesarean section Case note Elective caesarean section General hospital business Elective caesarean Contraindication reproductive and urinary physiology |
Zdroj: | Journal of Obstetrics and Gynaecology. 18:115-119 |
ISSN: | 1364-6893 0144-3615 |
Popis: | At a time when there is much criticism of increasing caesarean section rates, as well as an increased emphasis on involving the patient in decisions regarding her care, we decided to assess the effect of maternal request on the elective caesarean section rate. The study was a prospective patient interview and case note review, set at a District General Hospital in Watford, Hertfordshire over a 1-year period. Eligible patients included all women undergoing elective caesarean section, with the main outcome measure being the number of elective caesarean sections performed without obstetric contraindication to vaginal delivery. Out of 3025 deliveries, 570 (18.8%) were delivered by caesarean section, 276 (9.1%) electively and 293 (9.7%) as an emergency procedure. Of the elective procedures (18.2% of the total number of operations), 38% were performed because of maternal request. We conclude that maternal request is a significant factor in the rise in caesarean section rate. |
Databáze: | OpenAIRE |
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