Elective Cesarean Section and Decision Making: A Critical Review of the Literature

Birth - Tập 34 Số 1 - Trang 65-79 - 2007
Christine McCourt1,2,3, Jane Weaver1,2,3, Helen Statham1,2,3, Sarah Beake1,2,3, Jenny Gamble1,2,3, Debra Creedy1,2,3
11Chris McCourt is a Professor, Jane Weaver is a Senior Lecturer, and Sarah Beake is a Research Midwife at the Centre for Research in Midwifery and Childbirth, Thames Valley University, London, United Kingdom
22Helen Statham is Deputy Director at the Centre for Family Research, University of Cambridge, Cambridge, United Kingdom
33Jenny Gamble is a Lecturer and Debra Creedy is a Professor at the Centre for Clinical Practice Innovation, Griffith University, Brisbane, Queensland, Australia.

Tóm tắt

ABSTRACT:  Background: The cesarean section rate continues to rise in many countries with routine access to medical services, yet this increase is not associated with improvement in perinatal mortality or morbidity. A large number of commentaries in the medical literature and media suggest that consumer demand contributes significantly to the continued rise of births by cesarean section internationally. The objective of this article was to critically review the research literature concerning women’s preference or request for elective cesarean section published since that critiqued by Gamble and Creedy in 2000. Methods: A search of key databases using a range of search terms produced over 200 articles, of which 80 were potentially relevant. Of these, 38 were research‐based articles and 40 were opinion‐based articles. A total of 17 articles fitted the criteria for review. A range of methodologies was used, with varying quality, making meta‐analysis of findings inappropriate, and simple summaries of results difficult to produce. Results: The range and quality of studies had increased since 2001, reflecting continuing concern. Women’s preference for cesarean section varied from 0.3 to 14 percent; however, only 3 studies looked directly at this preference in the absence of clinical indications. Women’s preference for a cesarean section related to psychological factors, perceptions of safety, or in some countries, was influenced by cultural or social factors. Conclusions: Research between 2000 and 2005 shows evidence of very small numbers of women requesting a cesarean section. A range of personal and societal reasons, including fear of birth and perceived inequality and inadequacy of care, underpinned these requests. (BIRTH 34:1 March 2007)

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Tài liệu tham khảo

Dobson R, 2001, Caesarean section rate in England and Wales hits 21 percent, BMJ, 323, 951, 10.1136/bmj.323.7319.951a

10.1136/bmj.324.7343.928

10.1016/S0301-2115(00)00360-2

10.1136/bmj.317.7156.462

10.1046/j.1523-536x.2000.00256.x

Thomas J, 2001, The National Sentinel Caesarean Section Audit Report

10.1016/S0002-9378(03)00869-X

10.1503/cmaj.1032002

10.1016/S0140-6736(05)76016-5

10.1111/j.1471-0528.1990.tb02442.x

10.1001/jama.283.18.2411

10.1111/j.1471-0528.2002.07106.x

10.1177/104973239800800305

MurphyE DingwallR GreathatchD et al.Qualitative research methods in health technology assessment: A review of the literature.Health Technol Assess1998;2(16):276.

10.1111/j.1547-5069.2002.00213.x

10.1016/j.ajog.2004.09.133

10.1054/midw.2001.0274

Behague D, 2002, Consumer demand for Caesarean sections in Brazil: Informed decision making, patient choice, or social inequality? A population based birth cohort study linking ethnographic and epidemiological methods, BMJ, 324

10.1136/bmj.323.7322.1155

10.1016/S0277-9536(99)00480-3

10.1136/bmj.321.7275.1501

10.1016/S0277-9536(02)00301-5

Lapeyre E, 2004, Patient choice for elective cesarean delivery: Report on a survey, Female Patient, 29, 12

10.1111/j.0730-7659.2004.00289.x

10.1046/j.1523-536X.2001.00101.x

10.1111/j.1471-0528.2002.01393.x

10.1080/01443610020025994

10.1016/S0020-7292(02)00391-0

10.1046/j.1523-536X.2003.00226.x

10.1016/S0277-9536(99)00315-9

10.1016/S0301-2115(01)00424-9

10.1080/01443610020025985

10.1046/j.1523-536X.2003.00224.x

10.1046/j.1523-536X.2003.00254.x

10.1111/j.1523-536X.1992.tb00382.x

10.1016/S0140-6736(00)02840-3

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Birth

Tập 34 Số 1

65-79

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