| Caesarean section on demand: influence of personal birth experience and working environment on attitude of German gynaecologists. | |
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MedLine Citation:
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PMID: 16219516 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: We performed a survey among German obstetricians and gynecologists in order to evaluate the influence of biographic data, working environment and personal birth experience on the attitude towards Cesarean Section on demand. MATERIAL AND METHODS: All 2106 board-certified gynecologists in Baden-Württemberg received an anonymous questionnaire in 2002-2003 concerning attitude towards C-section on demand, biographical data, personal birth experience and working environment. Seven hundred and nineteen questionnaires were returned and entered into statistical analysis. RESULTS: General approval of C-section was in 59% of all participants, with huge statistically significant variations according to age, personal birth experience and working field. When asked for their preferred way of delivery for themselves or their partner after a low-risk pregnancy, 90% of the responding gynecologists opted for vaginal delivery. The approval depended statistically significant on parenthood, personal birth experience and working environment. CONCLUSIONS: Biographical data, personal birth experience and working environment influence the attitude towards elective Cesaran section. Although 90% would chose vaginal delivery for themselves or their partner as best medical practice, 59% of the physicians approve of the general opportunity of C-section on demand. This shows, that not only best medical practice, but also patient autonomy and forensic aspects seem to play an important role. |
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Authors:
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Patricia Faas-Fehervary; Kai Schwarz; Lelia Bauer; Frank Melchert |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: European journal of obstetrics, gynecology, and reproductive biology Volume: 122 ISSN: 0301-2115 ISO Abbreviation: Eur. J. Obstet. Gynecol. Reprod. Biol. Publication Date: 2005 Oct |
Date Detail:
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Created Date: 2005-10-12 Completed Date: 2006-01-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0375672 Medline TA: Eur J Obstet Gynecol Reprod Biol Country: Ireland |
Other Details:
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Languages: eng Pagination: 162-6 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, University Hospital Mannheim, University of Heidelberg, Germany. patricia.fehervary@gyn.ma.uni-heidelberg.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Attitude of Health Personnel* Cesarean Section / statistics & numerical data, utilization* Female Germany Gynecology* Health Care Surveys Humans Male Obstetrics* Parturition Patient Satisfaction* Physicians / psychology Pregnancy Professional Practice |
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