Document Detail

Obstetricians' perspective towards cesarean section delivery based on professional level: experience from Egypt.
MedLine Citation:
PMID:  22437189     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: (1) To investigate Egyptian obstetricians' views towards cesarean delivery on maternal request, (2) to investigate Egyptian obstetricians' views towards some of the "potentially neglected" or controversial obstetrical skills or maneuvers as external cephalic version (ECV), fetal scalp pH measurement or tubal ligation during CS and (3) to examine the effect of professional level on the above factors.
STUDY DESIGN: This is a descriptive study performed at the 8th annual Obstetrics and Gynecology conference of Suez Canal University held at Ismailia city in Egypt in June 2011 via a structured self administered questionnaire. Questionnaire was distributed to 223 conference attendants from the three professional levels (consultants, specialists and registrars) working at the two major institutions in Egypt: University and Ministry of Health. The structured questionnaire was based on informed opinion and professional guidelines. In total, 167 (75%) completed the questionnaire.
RESULTS: Cesarean delivery on maternal request was accepted by 66% of the studied group and acceptance was significantly higher among consultants. There was no difference in all physicians' practices of cesarean section in both private and public settings. Limited access to medical equipment such as cardiotocogram (CTG) was shown in consultant group reflecting improper private sector preparations. The study revealed that 59% of obstetricians accepted vaginal breech delivery, and only 14% would consider ECV. Fetal scalp pH taking in cases of abnormal CTG was accepted by only 16.3% and 49% rejected the practice of instrumental delivery. There were significant differences among the three professional and the two institutional groups regarding these attitudes. There were different views regarding tubal sterilization during CS.
CONCLUSIONS: Lack of knowledge, the need to improve some clinical skills and some professional attitudes may shed light on rising CS rates in Egypt.
Mohamed M Shaaban; Waleed Ali Sayed Ahmed; Waleed S Ahmed; Zeinab Khadr; Hesham F El-Sayed
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2012-03-23
Journal Detail:
Title:  Archives of gynecology and obstetrics     Volume:  286     ISSN:  1432-0711     ISO Abbreviation:  Arch. Gynecol. Obstet.     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-07-16     Completed Date:  2012-12-17     Revised Date:  2013-11-25    
Medline Journal Info:
Nlm Unique ID:  8710213     Medline TA:  Arch Gynecol Obstet     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  317-23     Citation Subset:  IM    
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MeSH Terms
Attitude of Health Personnel*
Cesarean Section*
Health Care Surveys
Obstetrics / manpower*
Physician's Practice Patterns
Sterilization, Tubal
Version, Fetal
Erratum In:
Arch Gynecol Obstet. 2013 Nov;288(5):1187
Note: Ahmed, Waleed S [corrected to Sayed Ahmed, Waleed Ali]

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