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Sökning: WFRF:(Gratia P.) > (2006) > Caesarean section o...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003864naa a2200445 4500
001oai:lup.lub.lu.se:fc095032-821c-459c-9c4e-15f5c559bfee
003SwePub
008160401s2006 | |||||||||||000 ||eng|
0247 a https://lup.lub.lu.se/record/4062602 URI
0247 a https://doi.org/10.1111/j.1471-0528.2006.00933.x2 DOI
040 a (SwePub)lu
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
1001 a Habiba, M4 aut
2451 0a Caesarean section on request: a comparison of obstetricians' attitudes in eight European countries
264 1b Wiley,c 2006
520 a Objective To explore the attitudes of obstetricians to performe a caesarean section on maternal request in the absence of medical indication. Design Cluster sampling cross-sectional survey. Setting Neonatal Intensive Care Unit (NICU) associated maternity units in eight European countries. Population Obstetricians with at least 6 months clinical experience. Methods NICU-associated maternity units were chosen by census in Luxembourg, Netherlands and Sweden and by geographically stratified random sampling in France, Germany, Italy, Spain and UK. An anonymous, self-administered questionnaire was used for data collection. Main outcome measures Obstetricians' willingness to perform a caesarean section on maternal request. Results One hundred and five units and 1530 obstetricians participated in the study (response rates of 70 and 77%,respectively). Compliance with a hypothetical woman's request for elective caesarean section simply because it was 'her choice' was lowest in Spain (15%), France (19%) and Netherlands (22%); highest in Germany (75%) and UK (79%) and intermediate in the remaining countries. Using weighted multivariate logistic regression, country of practice (P < 0.001), fear of litigation (P = 0.004) and working in a university-affiliated hospital (P = 0.001) were associated with physicians' likelihood to agree to patient's request. The subset of female doctors with children was less likely to agree (OR 0.29, 95% CI 0.20-0.42). Conclusions The differences in obstetricians' attitudes are not founded on concrete medical evidence. Cultural factors, legal liability and variables linked to the specific perinatal care organisation of the various countries play a role. Greater emphasis should be placed on understanding the motivation, values and fears underlying a woman's request for elective caesarean delivery.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Reproduktionsmedicin och gynekologi0 (SwePub)302202 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Obstetrics, Gynaecology and Reproductive Medicine0 (SwePub)302202 hsv//eng
653 a obstetricians' attitude
653 a caesarean
653 a maternal request
7001 a Kaminski, M4 aut
7001 a Da Fre, M4 aut
7001 a Marsal, Karelu Lund University,Lunds universitet,Obstetrik och gynekologi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Obstetrics and Gynaecology (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine4 aut0 (Swepub:lu)gyn-kma
7001 a Bleker, O4 aut
7001 a Librero, J4 aut
7001 a Grandjean, H4 aut
7001 a Gratia, P4 aut
7001 a Guaschino, S4 aut
7001 a Heyl, W4 aut
7001 a Taylor, D4 aut
7001 a Cuttini, M4 aut
7102 a Obstetrik och gynekologi, Lundb Sektion V4 org
7730 t BJOG: An International Journal of Obstetrics & Gynaecologyd : Wileyg 113:6, s. 647-656q 113:6<647-656x 1471-0528x 1470-0328
8564 u http://dx.doi.org/10.1111/j.1471-0528.2006.00933.xy FULLTEXT
8564 8u https://lup.lub.lu.se/record/406260
8564 8u https://doi.org/10.1111/j.1471-0528.2006.00933.x

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