| Repeat cesarean section and primary elective cesarean section: recently trained obstetrician-gynecologist practice patterns and opinions. | |
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MedLine Citation:
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PMID: 15970836 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: This study was undertaken to determine opinions of obstetrician-gynecologists regarding vaginal birth after cesarean (VBAC) section and elective cesarean section. STUDY DESIGN: A questionnaire was administered to obstetrician-gynecologists attending 2 review courses. RESULTS: Of 500 obstetrician-gynecologists, 304 completed the survey for a response rate of 61%. Most (92%) counseled VBAC candidates differently, and 84% quoted differential VBAC completion rates on the basis of the indication for prior cesarean section. Uterine rupture was virtually always discussed (99%). Pelvic floor risks were infrequently discussed with urinary incontinence, pelvic organ prolapse, and fecal incontinence discussed by less than one third of obstetricians (30%, 28%, and 25%, respectively). Fifty-nine percent of physicians would perform a primary elective cesarean section, and 67% would perform a primary elective cesarean section specifically to prevent pelvic floor disorders. CONCLUSION: Two thirds of recent graduates are willing to perform an elective cesarean section to prevent pelvic floor injury. Most offer VBAC; however, less than a third include risk of pelvic floor injury in their informed consent discussions. |
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Authors:
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Kimberly Kenton; Cynthia Brincat; Martina Mutone; Linda Brubaker |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 192 ISSN: 0002-9378 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2005 Jun |
Date Detail:
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Created Date: 2005-06-22 Completed Date: 2005-07-25 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 1872-5; discussion 1875-6 Citation Subset: AIM; IM |
Affiliation:
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Division of Female Pelvic Medicine and Reconstructive Surgery, Loyola University Medical Center, Maywood, IL 60153, USA. kkenton@lumc.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cesarean Section / utilization* Cesarean Section, Repeat / utilization Education, Medical, Continuing Fecal Incontinence / prevention & control Female Humans Male Middle Aged Obstetrics / education Physician's Practice Patterns / statistics & numerical data* Pregnancy Questionnaires Surgical Procedures, Elective / utilization United States / epidemiology Urinary Incontinence, Stress / prevention & control Vaginal Birth after Cesarean / utilization |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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