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Henshall BI, Grimes HA, Davis J, East CE. The PRIMROSE Project: What is 'physiological birth'? A quantitative approach to the perceptions of the Australian population. Midwifery 2025; 145:104375. [PMID: 40112609 DOI: 10.1016/j.midw.2025.104375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2024] [Revised: 10/21/2024] [Accepted: 03/11/2025] [Indexed: 03/22/2025]
Abstract
BACKGROUND The definition of 'physiological birth' by the World Health Organization in 1997 may need to be revisited to better align with current practices in labour and birth in the Australian context, and to better understand the perspectives of women and their care providers. This study explored if obstetric doctors, midwives, doulas, women, and support people (with experience in labour and birth in the last 12 months) recognise physiological birth differently, which interventions they consider congruent with physiological birth, and terms that should be included in a consensus statement of 'physiological birth'. METHODS A self-administered, anonymous, 68-field questionnaire was developed and shared online via social media platforms (Facebook, X, and LinkedIn). The questionnaire included Visual Analogue Scales, multi-choice, Likert scale, and open-text items. Data were collected between August - November 2023. RESULTS 733 participants interacted with the survey. Medical intervention such as vaginal examination to assess labour progress, was considered congruent with physiological birth, whereas continuous cardiotocography and artificial rupture of membranes were considered to be 'non-physiological'. Doulas associated physiological birth with being 'intervention-free' more strongly than any other group. Obstetrics doctors viewed birth as inherently risky. Respondents indicated that the psychological experience of birth, and terms such as 'spontaneous onset', 'no/minimal intervention' and 'spontaneous delivery/birth' should be included in a consensus statement of 'physiological birth'. CONCLUSION There are multiple understandings of the term 'physiological birth', implying that the term lacks clarity. There are disparities in how care providers and women view intervention in birth; suggesting a consensus statement of 'physiological birth' is appropriate for the Australian context.
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Affiliation(s)
- Brooke I Henshall
- La Trobe University, School of Nursing & Midwifery, Bundoora, Victoria, Australia; Judith Lumley Centre, School of Nursing & Midwifery, La Trobe University, Bundoora, Victoria, Australia; Mercy Hospital for Women, Mercy Health Pty Ltd, Heidelberg Victoria, Australia.
| | - Heather A Grimes
- Department of Nursing & Midwifery, James Cook University, Townsville, Queensland, Australia
| | - Jennifer Davis
- La Trobe University, School of Nursing & Midwifery, Bundoora, Victoria, Australia
| | - Christine E East
- La Trobe University, School of Nursing & Midwifery, Bundoora, Victoria, Australia; Judith Lumley Centre, School of Nursing & Midwifery, La Trobe University, Bundoora, Victoria, Australia; Mercy Hospital for Women, Mercy Health Pty Ltd, Heidelberg Victoria, Australia
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Zondag DC, van Haaren-Ten Haken TM, Offerhaus PM, Mestdagh E, Scheepers HCJ, Nieuwenhuijze MJ. Validation of the Birth Beliefs Scale for maternity care professionals in The Netherlands. J Psychosom Obstet Gynaecol 2024; 45:2392160. [PMID: 39166796 DOI: 10.1080/0167482x.2024.2392160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/18/2024] [Revised: 07/26/2024] [Accepted: 08/09/2024] [Indexed: 08/23/2024] Open
Abstract
OBJECTIVES To validate the Birth Beliefs Scale (BBS) for maternity care professionals by testing: (1) content validity; (2) internal reliability; (3) known-group discriminant validity; and examine potential relationships between regions and birth beliefs. METHODS First, content validity was tested. Before distribution of the questionnaire among maternity care professionals of six maternity care networks (MCNs), adjustments in the statements were made whenever content validity was too low. Data were collected from November 2022 to March 2023. Statistical analysis was performed using Cronbach's alpha, ANOVA and regression analysis. RESULTS Based on the content validity-test, item 6 of the questionnaire was adjusted before distribution. In total, 199 maternity care professionals completed the questionnaire. A good internal reliability of the BBS was found. There was a significant difference between the different disciplines for the BBS-Med subscale (p < .001), and the BBS-Nat subscale (p < .001). For the BBS-Nat subscale, the factors work experience and MCN were significant in the regression analysis, with interaction on the association between BBS-Nat and discipline. CONCLUSIONS The BBS is a valid instrument to measure birth beliefs among maternity care professionals. The BBS can help to create awareness within professionals of their beliefs and may help to explain practice variation in childbirth.
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Affiliation(s)
| | | | - Pien M Offerhaus
- Research Centre for Midwifery Science, Zuyd University, Maastricht, The Netherlands
| | - Eveline Mestdagh
- School of Health and Sciences, Midwifery Department, AP University of Applied Sciences, Antwerp, Belgium
- Centre for Research and Innovation in Care, University of Antwerp, Antwerp, Belgium
| | - Hubertina C J Scheepers
- Department of Obstetrics and Gynecology, GROW Institute for Oncology and Reproduction, Maastricht University Medical Center, Maastricht, The Netherlands
| | - Marianne J Nieuwenhuijze
- CAPHRI, Maastricht University, Maastricht, The Netherlands
- Research Centre for Midwifery Science, Zuyd University, Maastricht, The Netherlands
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Tonakanian L, Petousis S, Volteas P, Karavida A, Dinas K, Theodoridis T, Sotiriadis A, Athanasiadis A. Obstetricians and midwives perspective of the alarming high cesarean section rates in Greece and worldwide. Heliyon 2024; 10:e39177. [PMID: 39640750 PMCID: PMC11620273 DOI: 10.1016/j.heliyon.2024.e39177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2024] [Revised: 09/30/2024] [Accepted: 10/08/2024] [Indexed: 12/07/2024] Open
Abstract
Introduction This study aimed to outline the perspectives of obstetricians/gynecologists (physicians) and midwives regarding the alarmingly high rates of cesarean sections (CSs) to identify areas for improvement and describe the role of a regional obstetric quality initiative. Material and methods A cross-sectional study was performed utilizing real-world data from questionaries provided to Greek midwives and obstetricians. Primary outcomes included the attitudes of Greek physicians and midwives toward the CS rates in Greece and around the world, as well as identifying potential solutions for lowering these rates. The secondary outcome was the potential correlation between the answers of the participants and their demographic parameters. Results A total of 456 physicians and 234 midwives participated in the survey. Greek CS rates (>50 %) were considered "acceptable" and inevitable by 29.7 % and 32 % of the participants, respectively. Stratified analysis based on profession showed that significantly fewer midwives compared to obstetricians would agree with current CS rates. Participants who had obtained their degrees abroad were more likely to consider all CS rates more justified than physicians and midwives who had graduated from Greek medical schools. For all questions, the younger age subgroups responded in a way toward the non-acceptability of CS rates and favored the implementation of rules and practice control according to guidelines. The responses did not differ significantly between male and female physicians. Conclusions Greek midwives, to a greater degree than obstetricians/gynecologists, consider the current CS rates unjustified and agree on the importance of implementing appropriate interventions to reduce them.
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Affiliation(s)
- Lioumpov Tonakanian
- Third Department of Obstetrics and Gynecology, Faculty of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Stamatios Petousis
- Second Department of Obstetrics and Gynecology, Faculty of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Panagiotis Volteas
- Department of Surgery, Renaissance School of Medicine, HSC T-12, Room 064, Stony Brook, NY, 11794, USA
| | - Aikaterini Karavida
- Third Department of Obstetrics and Gynecology, Faculty of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Konstantinos Dinas
- Second Department of Obstetrics and Gynecology, Faculty of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Theodoros Theodoridis
- First Department of Obstetrics and Gynecology, Faculty of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Alexandros Sotiriadis
- Second Department of Obstetrics and Gynecology, Faculty of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Apostolos Athanasiadis
- Third Department of Obstetrics and Gynecology, Faculty of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
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Henshall BI, Grimes HA, Davis J, East CE. What is 'physiological birth'? A scoping review of the perspectives of women and care providers. Midwifery 2024; 132:103964. [PMID: 38432119 DOI: 10.1016/j.midw.2024.103964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2023] [Revised: 01/07/2024] [Accepted: 02/28/2024] [Indexed: 03/05/2024]
Abstract
PROBLEM Physiological birth was defined by the World Health Organization in 1997, however, clinical practices in childbirth have changed considerably since this time. BACKGROUND Ambiguous terms in healthcare such as 'physiological birth' may cause confusion amongst care providers and consumers. AIM To identify what is known about physiological birth, and how perceptions of physiological birth manifest in current literature. METHODS This review followed the Joanna Briggs Institute methodology for scoping reviews and the PRISMA-ScR checklist. Four databases were searched using keywords relating to physiological birth. Relevant studies were identified using agreed criteria, and data were extracted and synthesised. RESULTS A total of 24 studies met the inclusion criteria for this review. Three connected factors were identified: (1) Physiological birth in a risk-averse system, (2) Dominant voices in birth, and (3) Lack of exposure to physiological birth. No unified universal definition of physiological birth was identified in the literature. DISCUSSION 'Physiological birth' as a term lacks consistency. A risk-averse healthcare system could be a barrier to physiological birth. Dominant voices in the birthing space can dictate the way birth occurs. Lack of exposure to physiological birth may diminish the acquisition and maintenance of important skills and knowledge among care providers. Recognising the factors important to women could lead to a positive birth experience. CONCLUSION Excluding a woman's subjective experience from health professionals' understanding of physiological birth increases the likelihood of risk management being the paramount objective in clinical decision-making. We propose it is timely to align clinical understanding of physiological birth with midwifery's woman-centred professional philosophy.
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Affiliation(s)
- Brooke I Henshall
- La Trobe University, School of Nursing & Midwifery, Bundoora, Victoria, Australia; Judith Lumley Centre, School of Nursing & Midwifery, La Trobe University, Bundoora, Victoria, Australia; Mercy Hospital for Women, Mercy Health Pty Ltd, Heidelberg Victoria, Australia.
| | - Heather A Grimes
- La Trobe University, School of Nursing & Midwifery, Bundoora, Victoria, Australia; Judith Lumley Centre, School of Nursing & Midwifery, La Trobe University, Bundoora, Victoria, Australia; Department of Nursing & Midwifery, Dames Cook University, James Cook University, Townsville, Queensland, Australia
| | - Jennifer Davis
- La Trobe University, School of Nursing & Midwifery, Bundoora, Victoria, Australia
| | - Christine E East
- La Trobe University, School of Nursing & Midwifery, Bundoora, Victoria, Australia; Judith Lumley Centre, School of Nursing & Midwifery, La Trobe University, Bundoora, Victoria, Australia; Mercy Hospital for Women, Mercy Health Pty Ltd, Heidelberg Victoria, Australia
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Lee N, Allen J, Jenkinson B, Hurst C, Gao Y, Kildea S. A pre-post implementation study of a care bundle to reduce perineal trauma in unassisted births conducted by midwives. Women Birth 2024; 37:159-165. [PMID: 37598048 DOI: 10.1016/j.wombi.2023.08.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Revised: 07/09/2023] [Accepted: 08/14/2023] [Indexed: 08/21/2023]
Abstract
PROBLEM The perineal-bundle is a complex intervention widely implemented in Australian maternity care facilities. BACKGROUND Most bundle components have limited or conflicting evidence and the implementation required many midwives to change their usual practice for preventing perineal trauma. AIM To measure the effect of perineal bundle implementation on perineal injury for women having unassisted births with midwives. METHODS A retrospective pre-post implementation study design to determine rates of second degree, severe perineal trauma, and episiotomy. Women who had an unassisted, singleton, cephalic vaginal birth at term between two time periods: January 2011 - November 2017 and August 2018 - August 2020 with a midwife or midwifery student accoucheur. We conducted logistic regression on the primary outcomes to control for confounding variables. FINDINGS data from 20,155 births (pre-implementation) and 6273 (post-implementation) were analysed. After implementation, no significant difference in likelihood of severe perineal trauma was demonstrated (aOR 0.86, 95% CI 0.71-1.04, p = 0.124). Nulliparous women were more likely to receive an episiotomy (aOR 1.49 95% CI 1.31-1.70 p < 0.001) and multiparous women to suffer a second degree tear (aOR 1.18 95% CI 1.09-1.27 p < 0.001). DISCUSSION This study adds to the growing body of literature which suggests a number of bundle components are ineffective, and some potentially harmful. Why, and how, the bundle was introduced at scale without a research framework to test efficacy and safety is a key concern. CONCLUSION Suitably designed trials should be undertaken on all proposed individual or grouped perineal protection strategies prior to broad adoption.
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Affiliation(s)
- Nigel Lee
- Level 3 Chamberlain Building, School of Nursing Midwifery and Social Work, University of Queensland, St Lucia, Queensland, Australia.
| | - Jyai Allen
- Molly Wardaguga Research Centre, College of Nursing & Midwifery, Charles Darwin University, Level 11, East building, 410 Ann St, Brisbane, Queensland 4000, Australia.
| | - Bec Jenkinson
- Australian Women and Girl's Health Research Centre, School of Public Health, University of Queensland, Herston, Queensland, Australia.
| | - Cameron Hurst
- Australian Nurse-Family Partnership Program and Molly Wardaguga Research Centre, Level 11, East building, 410 Ann St, Brisbane, Queensland 4000, Australia.
| | - Yu Gao
- Level 3 Chamberlain Building, School of Nursing Midwifery and Social Work, University of Queensland, St Lucia, Queensland, Australia.
| | - Sue Kildea
- Molly Wardaguga Research Centre, College of Nursing & Midwifery, Charles Darwin University, 17 Grevillea Drive, Sadadeen, Alice Springs 0870, Australia.
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Clerke T, Margetts J, Donovan H, Shepherd HL, Makris A, Canty A, Ruhotas A, Catling C, Henry A. Piloting a shared decision-making clinician training intervention in maternity care in Australia: A mixed methods study. Midwifery 2023; 126:103828. [PMID: 37717344 DOI: 10.1016/j.midw.2023.103828] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Revised: 08/28/2023] [Accepted: 09/11/2023] [Indexed: 09/19/2023]
Abstract
PROBLEM Implementation of woman-centred care in evidence-based maternity practice requires clinicians to be skilled in shared decision-making, yet there is limited training or research into such interventions. BACKGROUND Shared decision-making enables women to make informed decisions in partnership with clinicians where there are varied clinical options in relation to indications for and timing of planned birth. AIM We aimed to develop a shared decision-making training intervention and evaluate its feasibility and acceptability to midwives and obstetricians. METHODS The intervention was co-designed by midwifery and medical clinician-researchers, and a consumer representative. Online training and demonstration videos were distributed to midwives and obstetricians in three Sydney hospitals, followed by two online workshops in 2021 and 2022 where participants practised shared decision-making in roleplaying scenarios tailored to timing of birth. Training was evaluated using post-workshop and post-training surveys and semi-structured qualitative interviews. FINDINGS The training workshop format, duration and content were well received. Barriers to the uptake of shared decision-making were time, paternalistic practices and fear of repercussions of centring women in the decision-making process. DISCUSSION The intervention enabled midwifery and medical colleagues to learn communication repertoires from each other in woman-centred discussions around timing of birth. Roleplay scenarios enabled participants to observe and provide feedback on their colleagues' shared decision-making practices, while providing a space for collective reflection on ways to promote, and mitigate barriers to, its implementation in practice. CONCLUSION Shared decision-making training supports maternity clinicians in developing skills that implement woman-centred care in the timing of planned birth.
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Affiliation(s)
- Teena Clerke
- Maridulu Budyari Gumal, Sydney Partnership for Health, Education, Research and Enterprise (SPHERE), Australia; University of Technology Sydney, Faculty of Health, Australia.
| | - Jayne Margetts
- Maridulu Budyari Gumal, Sydney Partnership for Health, Education, Research and Enterprise (SPHERE), Australia; University of Technology Sydney, Faculty of Health, Australia
| | - Helen Donovan
- Maridulu Budyari Gumal, Sydney Partnership for Health, Education, Research and Enterprise (SPHERE), Australia; University of Technology Sydney, Faculty of Health, Australia
| | - Heather L Shepherd
- The University of Sydney, Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, Australia
| | - Angela Makris
- Maridulu Budyari Gumal, Sydney Partnership for Health, Education, Research and Enterprise (SPHERE), Australia; University of New South Wales, Australia; Liverpool Hospital, South West Sydney Local Health District, Australia; Western Sydney University, Women's Health Initiative Translation Unit (WHITU), Australia
| | - Alison Canty
- Maridulu Budyari Gumal, Sydney Partnership for Health, Education, Research and Enterprise (SPHERE), Australia; Liverpool Hospital, South West Sydney Local Health District, Australia; Western Sydney University, Women's Health Initiative Translation Unit (WHITU), Australia
| | - Annette Ruhotas
- Maridulu Budyari Gumal, Sydney Partnership for Health, Education, Research and Enterprise (SPHERE), Australia
| | - Christine Catling
- Maridulu Budyari Gumal, Sydney Partnership for Health, Education, Research and Enterprise (SPHERE), Australia; University of Technology Sydney, Faculty of Health, Australia
| | - Amanda Henry
- Maridulu Budyari Gumal, Sydney Partnership for Health, Education, Research and Enterprise (SPHERE), Australia; University of New South Wales, Australia; St George Hospital, South East Sydney Local Health District, Australia
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Johnson K, Elvander C, Johansson K, Saltvedt S, Edqvist M. The effect of organizational belonging and profession on clinicians' attitudes toward supporting vaginal birth and interprofessional teamwork-a cross-sectional study. Acta Obstet Gynecol Scand 2023; 102:355-369. [PMID: 36629126 PMCID: PMC9951341 DOI: 10.1111/aogs.14502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2022] [Revised: 11/05/2022] [Accepted: 12/13/2022] [Indexed: 01/12/2023]
Abstract
INTRODUCTION The aim of this study was to investigate the effect of organizational belonging and profession on clinicians' attitudes toward supporting vaginal birth and interprofessional teamwork in Swedish maternity care. MATERIAL AND METHODS The study used a cross-sectional design, with a web-based survey sent to midwives, physicians and nurse assistants at five labor wards in Sweden. The survey consisted of two validated scales: the Swedish version of the Labor Culture Survey (S-LCS), measuring attitudes toward supporting vaginal birth, and the Assessment of Collaborative Environments (ACE-15), measuring attitudes toward interprofessional teamwork. Two-way ANOVA was conducted to assess the main effect of and interaction effect between organizational belonging and profession for the different subscales of the S-LCS and the ACE-15, together with Tukey's honest significant difference post-hoc analysis and partial eta squared to determine effect size. The relation between the subscales was assessed using the Pearson's correlation analysis. RESULTS A total of 539 midwives, physicians and nurse assistants completed the survey. Organizational belonging significantly influenced attitudes toward supporting vaginal birth and interprofessional teamwork, with the largest effect for Positive team culture (F = 38.88, effect size = 0.25, p < 0.001). The effect of profession was strongest for the subscale Best practices (F = 59.43, effect size = 0.20, p < 0.001), with midwives being more supportive of strategies proposed to support vaginal birth than physicians and nurse assistants. A significant interaction effect was found for four of the subscales of the S-LCS, with the strongest effect for items reflecting the Unpredictability of vaginal birth (F = 4.49, effect size = 0.07, p < 0.001). Labor ward culture (unit microculture) specifically related to supporting vaginal birth was strongly correlated to interprofessional teamwork (r = 0.598, p < 0.001). CONCLUSIONS In the current study, both organizational belonging and profession influenced attitudes toward supporting vaginal birth and interprofessional teamwork. Positive team culture was positively correlated to an organizational culture supportive of vaginal birth. Interventions to support vaginal births should include efforts to strengthen teamwork between professions, as well as considering women's values, preferences and informed choices.
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Affiliation(s)
- Karin Johnson
- Clinical Epidemiology Division, Department of Medicine SolnaKarolinska InstitutetSolnaSweden,Department of Women's Health and Health professionsKarolinska University HospitalStockholmSweden
| | - Charlotte Elvander
- Clinical Epidemiology Division, Department of Medicine SolnaKarolinska InstitutetSolnaSweden
| | - Kari Johansson
- Clinical Epidemiology Division, Department of Medicine SolnaKarolinska InstitutetSolnaSweden,Department of Women's Health and Health professionsKarolinska University HospitalStockholmSweden
| | - Sissel Saltvedt
- Department of Women's Health and Health professionsKarolinska University HospitalStockholmSweden,Department of Women's and Children's Health, Department of Medicine SolnaKarolinska InstitutetSolnaSweden
| | - Malin Edqvist
- Clinical Epidemiology Division, Department of Medicine SolnaKarolinska InstitutetSolnaSweden,Department of Women's Health and Health professionsKarolinska University HospitalStockholmSweden
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Rana T, Satwah S, Bellussi F, Berghella V. Obstetric provider preferences for cesarean delivery on maternal request in uncomplicated pregnancies: a systematic review of the literature. Am J Obstet Gynecol MFM 2022; 5:100839. [PMID: 36775197 DOI: 10.1016/j.ajogmf.2022.100839] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Revised: 12/06/2022] [Accepted: 12/14/2022] [Indexed: 12/24/2022]
Abstract
OBJECTIVE The aim of this study is to review obstetric providers' personal preferences for cesarean delivery on maternal request (CDMR) in uncomplicated pregnancies. DATA SOURCES Searches were performed in Ovid-Medline, Cochrane, Scopus, CINAHL with terms related to "cesarean," "elective," "scheduled," "maternal request," "physician," "obstetrician," "gynecologist," "midwife," "specialist," and "trainee." There were no limitations placed on the language, year, or location of the studies included in the initial search strategy. STUDY ELIGIBILITY CRITERIA Articles were included if they focused on providers' personal preference for CDMR, if they were written in or translated into English, and if they did not meet any exclusion criteria. STUDY APPRAISAL AND SYNTHESIS METHODS The primary outcome was the percentage of providers preferring CDMR in a hypothetical uncomplicated nulliparous term singleton vertex (NTSV) pregnancy. Secondary outcomes included the percentage of providers preferring CDMR for a close family member in a NTSV pregnancy as well as the percentage of providers having a personal history of CDMR. RESULTS 34 articles were included in the review. The studies were performed across a range of time and geographical locations. The main providers studied were obstetrician-gynecologists (ob-gyns) and midwives. In the hypothetical scenario asking their personal delivery preference for a NTSV pregnancy, the overall preference for CDMR among all obstetric providers was 13.5% (966/7154), specifically 14.3% (894/6250) of ob-gyns and 2% (11/574) of midwives; these percentages increased over the last 20 years. In the hypothetical scenario asking their delivery preference for a close family member in a NTSV pregnancy, these percentages changed to 28.5% (138/484), 67% (138/206), and 0% (0/278), respectively. The percentage of providers with a personal history of CDMR was overall 20.9% (486/2324), specifically 25.2% (338/1339) of ob-gyns, and 2% (7/347) of midwives. CONCLUSIONS 14.3% of ob-gyns would prefer CDMR for themselves in a hypothetical NTSV pregnancy, and this percentage has increased over the last 20 years. However, 25.2% of ob-gyns have had CDMR themselves, and 67% would recommend it for a close family member. Instead, ≤2% of midwives have had or would recommend CDMR.
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Affiliation(s)
- Tanvi Rana
- Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA
| | - Syona Satwah
- Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA
| | - Federica Bellussi
- Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA
| | - Vincenzo Berghella
- Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA.
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Santana-Domínguez I, González-De La Torre H, Verdú-Soriano J, Berenguer-Pérez M, Suárez-Sánchez JJ, Martín-Martínez A. Feelings of being a second victim among Spanish midwives and obstetricians. Nurs Open 2022; 9:2356-2369. [PMID: 35633515 PMCID: PMC9374404 DOI: 10.1002/nop2.1249] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Revised: 04/05/2022] [Accepted: 05/08/2022] [Indexed: 11/11/2022] Open
Abstract
Aim The aim of this study was to determine the prevalence of feelings of being a second victim among midwives and obstetricians in Spain and to explore possible differences between the two professions. Design Cross‐sectional descriptive‐analytical observational study. Methods An online survey collecting several variables was administered throughout the Spanish territory. Spanish version of the Second Victim Experience and Support Tool (SVEST) was used. The data collection period was from May to December 2020. Results A total sample of 719 obstetricians and midwives were studied. There were significant differences between the two groups with respect to seven dimensions of SVEST: greater feelings of being a second victim among obstetricians in the dimensions physical distress/p ≤ .001, non‐work‐related support/p ≤ .001 and absenteeism/p ≤ .001 and greater feelings of being a second victim among midwives in the dimensions psychological distress/p ≤ .001, supervisor support/p = .011, professional self‐efficacy/p ≤ .001 and intention to change jobs/p ≤ .001.
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Affiliation(s)
- Irene Santana-Domínguez
- University of Las Palmas de Gran Canaria (ULPGC), Las Palmas de Gran Canaria-Canary Islands, Spain.,Canary Health Service. Obstetrics and Gynaecology Department, Gran Canaria Maternal and Infant University Hospital Complex, Canary Islands, Spain
| | - Héctor González-De La Torre
- Research Unit of Insular Maternal and Child University Hospital Complex of Gran Canaria, Canary Health Service, Las Palmas de Gran Canaria-Canary Islands, Spain.,University of La Laguna (ULL)-Nursing Unit La Palma, Tenerife-Canary Islands, Spain
| | - José Verdú-Soriano
- Department of Community Nursing, Preventive Medicine, Public Health and History of Science, Faculty of Health Sciences, University of Alicante (UA), Alicante, Spain
| | - Miriam Berenguer-Pérez
- Department of Community Nursing, Preventive Medicine, Public Health and History of Science, Faculty of Health Sciences, University of Alicante (UA), Alicante, Spain
| | - Juan José Suárez-Sánchez
- University of Las Palmas de Gran Canaria (ULPGC), Las Palmas de Gran Canaria-Canary Islands, Spain.,Canary Health Service, Direction of Primary Care Gran Canaria, Canary Islands, Spain
| | - Alicia Martín-Martínez
- University of Las Palmas de Gran Canaria (ULPGC), Las Palmas de Gran Canaria-Canary Islands, Spain.,Canary Health Service. Obstetrics and Gynaecology Department, Gran Canaria Maternal and Infant University Hospital Complex, Canary Islands, Spain
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