Document Detail

Obstetrician gender and the likelihood of performing a maternal request for a cesarean delivery.
MedLine Citation:
PMID:  17383794     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To examine the relationship between obstetrician gender and the likelihood of maternal request for cesarean section (CS) within different healthcare institutions (medical centers, regional hospitals, district hospitals, and obstetric and gynecology clinics). STUDY DESIGN: Five years of population-based data from Taiwan covering 857,920 singleton deliveries without a clinical indication for a CS were subjected to a multiple logistic regression to examine the association between obstetrician gender and the likelihood of maternal request for a CS. RESULTS: After adjusting for physician and institutional characteristics, it was found that male obstetricians were more likely to perform a requested CS than female obstetricians in district hospitals (OR=1.53) and clinics (OR=2.26), while obstetrician gender had no discernible associations with the likelihood of a CS upon maternal request in medical centers and regional hospitals. CONCLUSIONS: While obstetrician gender had the greatest association with delivery mode decisions in the lowest obstetric care units, those associations were diluted in higher-level healthcare institutions.
Tsai-Ching Liu; Herng-Ching Lin; Chin-Shyan Chen; Hsin-Chien Lee
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2007-03-26
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  136     ISSN:  0301-2115     ISO Abbreviation:  Eur. J. Obstet. Gynecol. Reprod. Biol.     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2008-01-08     Completed Date:  2008-03-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  46-52     Citation Subset:  IM    
Department of Public Finance, National Taipei University, Taipei, Taiwan.
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MeSH Terms
Ambulatory Care Facilities
Cesarean Section*
Hospitals, Public
Hospitals, Voluntary
Logistic Models
Patient Satisfaction
Private Sector
Sex Factors*
Socioeconomic Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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