dc.creator | Rivo, J. C. | |
dc.creator | Amyx, Melissa Michele | |
dc.creator | Pingray, María Verónica | |
dc.creator | Casale, R. A. | |
dc.creator | Fiorillo, Angel Eduardo | |
dc.creator | Krupitzki, Hugo Bernardo | |
dc.creator | Malamud, J. D. | |
dc.creator | Mendilaharzu, M. | |
dc.creator | Medina, M. L. | |
dc.creator | del Pino, A. B. | |
dc.creator | Ribola, L. | |
dc.creator | Schvartzman, Javier Alfonso | |
dc.creator | Tartalo, G. M. | |
dc.creator | Trasmonte, Monica | |
dc.creator | Varela, S. | |
dc.creator | Althabe, Fernando | |
dc.creator | Belizán, J. M. | |
dc.date.accessioned | 2020-02-17T17:47:05Z | |
dc.date.accessioned | 2022-10-15T00:36:26Z | |
dc.date.available | 2020-02-17T17:47:05Z | |
dc.date.available | 2022-10-15T00:36:26Z | |
dc.date.created | 2020-02-17T17:47:05Z | |
dc.date.issued | 2018-09 | |
dc.identifier | Rivo, J. C.; Amyx, Melissa Michele; Pingray, María Verónica; Casale, R. A.; Fiorillo, Angel Eduardo; et al.; Obstetrical providers’ preferred mode of delivery and attitude towards non-medically indicated caesarean sections: a cross-sectional study; Wiley Blackwell Publishing, Inc; BJOG - An International Journal of Obstetrics and Gynaecology; 125; 10; 9-2018; 1294-1302 | |
dc.identifier | 1470-0328 | |
dc.identifier | http://hdl.handle.net/11336/97743 | |
dc.identifier | CONICET Digital | |
dc.identifier | CONICET | |
dc.identifier.uri | https://repositorioslatinoamericanos.uchile.cl/handle/2250/4325467 | |
dc.description.abstract | Objective: To describe obstetrical providers’ delivery preferences and attitudes towards caesarean section without medical indication, including on maternal request, and to examine the association between provider characteristics and preferences/attitudes. Design: Cross-sectional study. Setting: Two public and two private hospitals in Argentina. Population: Obstetrician-gynaecologists and midwives who provide prenatal care and/or labour/delivery services. Methods: Providers in hospitals with at least 1000 births per year completed a self-administered, anonymous survey. Main outcome measures: Provider delivery preference for low-risk women, perception of women's preferred delivery method, support for a woman's right to choose her delivery method and willingness to perform caesarean section on maternal request. Results: 168 providers participated (89.8% coverage rate). Providers (93.2%) preferred a vaginal delivery for their patients in the absence of a medical indication for caesarean section. Whereas 74.4% of providers supported their patient's right to choose a delivery method in the absence of a medical indication for caesarean section and 66.7% would perform a caesarean section upon maternal request, only 30.4% would consider a non-medically indicated caesarean section for their own personal delivery or that of their partner. In multivariate adjusted analysis, providers in the private sector [odds ratio (OR) 4.70, 95% CI 1.19–18.62] and obstetrician-gynaecologists (OR 4.37, 95% CI 1.58–12.09) were more willing than either providers working in the public/both settings or midwives to perform a caesarean section on maternal request. Conclusions: Despite the ethical debate surrounding non-medically indicated caesarean sections, we observe very high levels of support, especially by providers in the private sector and obstetrician-gynaecologists, as aligned with the high caesarean section rates in Argentina. Tweetable abstract: Non-medically indicated c-section? 74% of sampled Argentine OB providers support women's right to choose. | |
dc.language | eng | |
dc.publisher | Wiley Blackwell Publishing, Inc | |
dc.relation | info:eu-repo/semantics/altIdentifier/url/http://doi.wiley.com/10.1111/1471-0528.15122 | |
dc.relation | info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1111/1471-0528.15122 | |
dc.relation | info:eu-repo/semantics/altIdentifier/url/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6041183/ | |
dc.rights | https://creativecommons.org/licenses/by-nc-sa/2.5/ar/ | |
dc.rights | info:eu-repo/semantics/openAccess | |
dc.subject | CAESAREAN SECTION | |
dc.subject | CESAREAN SECTION/EPIDEMIOLOGY | |
dc.subject | CESAREAN SECTION/UTILISATION | |
dc.subject | MATERNAL REQUEST | |
dc.subject | NON-MEDICALLY INDICATED CAESAREAN SECTION | |
dc.subject | OBSTETRICIANS’ ATTITUDE | |
dc.title | Obstetrical providers’ preferred mode of delivery and attitude towards non-medically indicated caesarean sections: a cross-sectional study | |
dc.type | info:eu-repo/semantics/article | |
dc.type | info:ar-repo/semantics/artículo | |
dc.type | info:eu-repo/semantics/publishedVersion | |