The effect of medical and social conditions on the mode of delivery: a prospective questionnaire-based study applied to 404 Turkish obstetricians
Purpose To identify the factors that influence provider’s decisions on method of delivery in a country where national cesarean delivery rate (CDR) among all births increased steadily from 21 to 56% in a 16-year period. Methods We planned nine birth scenarios, in which both delivery modes were plausi...
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| Veröffentlicht in: | Archives of gynecology and obstetrics 2021-05, Vol.303 (5), p.1167-1174 |
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| container_title | Archives of gynecology and obstetrics |
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| creator | Akpinar, Funda Kiliç, Fatih Öztürk, Neslihan Coşkun, Bora Akşar, Mustafa Erkaya, Salim |
| description | Purpose
To identify the factors that influence provider’s decisions on method of delivery in a country where national cesarean delivery rate (CDR) among all births increased steadily from 21 to 56% in a 16-year period.
Methods
We planned nine birth scenarios, in which both delivery modes were plausible, and we used self-administered questionnaire to ask obstetricians for their preferred mode of delivery in these scenarios. If the choice was cesarean delivery (CD), the provider was asked to state the reason for choosing this method. We grouped respondents according to number of years in their occupation, working sector (state, university or private hospital) and academic degree.
Results
Four hundred and four obstetricians completed the questionnaire. Preference for CD in all scenarios was comparable between male and female obstetricians (
p
= 0.334) and between specialists, associate professors and professors (
p
= 0.812). The most frequent reason for choice of CD in all nine scenarios was fear of fetal risk and/or fear of litigation.
Conclusion
Fear of litigation was found to be the major factor influencing CD choice. This fear not only increases the CDR but also results in loss of training in breech delivery and operative vaginal delivery, forming a vicious cycle. |
| doi_str_mv | 10.1007/s00404-020-05842-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2454102587</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2454102587</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-5d3f58597efd4a6b2e851f79a30d73d4c39d8653140ea1915d3f86fb5f1383453</originalsourceid><addsrcrecordid>eNp9kc1u1TAQhS0EoreFF2CBLLFhExj_xQ47VAFFqsTmsraceExdcuNgJ5XuY_DGOL0FJBasPLa_OXM0h5AXDN4wAP22AEiQDXBoQBnJm_YR2TEpeAOascdkB91WQ6vPyHkptwCMG9M-JWdCQKcEiB35ub9BiiHgsNAU6AF9HNxI3eRpSUOs5ZAmH5eYpkLTRJeKH5LHDfY4xjvMx3fU0TmnMleR-kB_rFi2hsnFjE3vClaxZfVH6uZ5jPW2JFqd0_2av8dyQ1NfFlxyrPOm8ow8CW4s-PzhvCBfP37YX141118-fb58f90MQqulUV4EZVSnMXjp2p6jUSzozgnwWng5iM6bVgkmAR3r2MabNvQqMGGEVOKCvD7pVuv3ju0hlgHH0U2Y1mK5VJIBV0ZX9NU_6G1a81TdWa6Y0Kwz7UbxEzXUXZSMwc45Hlw-WgZ2C8yeArM1MHsfmG1r08sH6bWvy__T8juhCogTUOrX9A3z39n_kf0FreGhVg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2513719867</pqid></control><display><type>article</type><title>The effect of medical and social conditions on the mode of delivery: a prospective questionnaire-based study applied to 404 Turkish obstetricians</title><source>SpringerLink Journals</source><creator>Akpinar, Funda ; Kiliç, Fatih ; Öztürk, Neslihan ; Coşkun, Bora ; Akşar, Mustafa ; Erkaya, Salim</creator><creatorcontrib>Akpinar, Funda ; Kiliç, Fatih ; Öztürk, Neslihan ; Coşkun, Bora ; Akşar, Mustafa ; Erkaya, Salim</creatorcontrib><description>Purpose
To identify the factors that influence provider’s decisions on method of delivery in a country where national cesarean delivery rate (CDR) among all births increased steadily from 21 to 56% in a 16-year period.
Methods
We planned nine birth scenarios, in which both delivery modes were plausible, and we used self-administered questionnaire to ask obstetricians for their preferred mode of delivery in these scenarios. If the choice was cesarean delivery (CD), the provider was asked to state the reason for choosing this method. We grouped respondents according to number of years in their occupation, working sector (state, university or private hospital) and academic degree.
Results
Four hundred and four obstetricians completed the questionnaire. Preference for CD in all scenarios was comparable between male and female obstetricians (
p
= 0.334) and between specialists, associate professors and professors (
p
= 0.812). The most frequent reason for choice of CD in all nine scenarios was fear of fetal risk and/or fear of litigation.
Conclusion
Fear of litigation was found to be the major factor influencing CD choice. This fear not only increases the CDR but also results in loss of training in breech delivery and operative vaginal delivery, forming a vicious cycle.</description><identifier>ISSN: 0932-0067</identifier><identifier>EISSN: 1432-0711</identifier><identifier>DOI: 10.1007/s00404-020-05842-6</identifier><identifier>PMID: 33095303</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Births ; Cesarean section ; Childbirth & labor ; Endocrinology ; Gynecology ; Hospitals ; Human Genetics ; Maternal-Fetal Medicine ; Medicine ; Medicine & Public Health ; Obstetrics ; Obstetrics/Perinatology/Midwifery ; Pregnancy ; Questionnaires ; Social networks ; Vagina</subject><ispartof>Archives of gynecology and obstetrics, 2021-05, Vol.303 (5), p.1167-1174</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-5d3f58597efd4a6b2e851f79a30d73d4c39d8653140ea1915d3f86fb5f1383453</citedby><cites>FETCH-LOGICAL-c375t-5d3f58597efd4a6b2e851f79a30d73d4c39d8653140ea1915d3f86fb5f1383453</cites><orcidid>0000-0001-9388-0374</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00404-020-05842-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00404-020-05842-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33095303$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Akpinar, Funda</creatorcontrib><creatorcontrib>Kiliç, Fatih</creatorcontrib><creatorcontrib>Öztürk, Neslihan</creatorcontrib><creatorcontrib>Coşkun, Bora</creatorcontrib><creatorcontrib>Akşar, Mustafa</creatorcontrib><creatorcontrib>Erkaya, Salim</creatorcontrib><title>The effect of medical and social conditions on the mode of delivery: a prospective questionnaire-based study applied to 404 Turkish obstetricians</title><title>Archives of gynecology and obstetrics</title><addtitle>Arch Gynecol Obstet</addtitle><addtitle>Arch Gynecol Obstet</addtitle><description>Purpose
To identify the factors that influence provider’s decisions on method of delivery in a country where national cesarean delivery rate (CDR) among all births increased steadily from 21 to 56% in a 16-year period.
Methods
We planned nine birth scenarios, in which both delivery modes were plausible, and we used self-administered questionnaire to ask obstetricians for their preferred mode of delivery in these scenarios. If the choice was cesarean delivery (CD), the provider was asked to state the reason for choosing this method. We grouped respondents according to number of years in their occupation, working sector (state, university or private hospital) and academic degree.
Results
Four hundred and four obstetricians completed the questionnaire. Preference for CD in all scenarios was comparable between male and female obstetricians (
p
= 0.334) and between specialists, associate professors and professors (
p
= 0.812). The most frequent reason for choice of CD in all nine scenarios was fear of fetal risk and/or fear of litigation.
Conclusion
Fear of litigation was found to be the major factor influencing CD choice. This fear not only increases the CDR but also results in loss of training in breech delivery and operative vaginal delivery, forming a vicious cycle.</description><subject>Births</subject><subject>Cesarean section</subject><subject>Childbirth & labor</subject><subject>Endocrinology</subject><subject>Gynecology</subject><subject>Hospitals</subject><subject>Human Genetics</subject><subject>Maternal-Fetal Medicine</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obstetrics</subject><subject>Obstetrics/Perinatology/Midwifery</subject><subject>Pregnancy</subject><subject>Questionnaires</subject><subject>Social networks</subject><subject>Vagina</subject><issn>0932-0067</issn><issn>1432-0711</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kc1u1TAQhS0EoreFF2CBLLFhExj_xQ47VAFFqsTmsraceExdcuNgJ5XuY_DGOL0FJBasPLa_OXM0h5AXDN4wAP22AEiQDXBoQBnJm_YR2TEpeAOascdkB91WQ6vPyHkptwCMG9M-JWdCQKcEiB35ub9BiiHgsNAU6AF9HNxI3eRpSUOs5ZAmH5eYpkLTRJeKH5LHDfY4xjvMx3fU0TmnMleR-kB_rFi2hsnFjE3vClaxZfVH6uZ5jPW2JFqd0_2av8dyQ1NfFlxyrPOm8ow8CW4s-PzhvCBfP37YX141118-fb58f90MQqulUV4EZVSnMXjp2p6jUSzozgnwWng5iM6bVgkmAR3r2MabNvQqMGGEVOKCvD7pVuv3ju0hlgHH0U2Y1mK5VJIBV0ZX9NU_6G1a81TdWa6Y0Kwz7UbxEzXUXZSMwc45Hlw-WgZ2C8yeArM1MHsfmG1r08sH6bWvy__T8juhCogTUOrX9A3z39n_kf0FreGhVg</recordid><startdate>20210501</startdate><enddate>20210501</enddate><creator>Akpinar, Funda</creator><creator>Kiliç, Fatih</creator><creator>Öztürk, Neslihan</creator><creator>Coşkun, Bora</creator><creator>Akşar, Mustafa</creator><creator>Erkaya, Salim</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9388-0374</orcidid></search><sort><creationdate>20210501</creationdate><title>The effect of medical and social conditions on the mode of delivery: a prospective questionnaire-based study applied to 404 Turkish obstetricians</title><author>Akpinar, Funda ; Kiliç, Fatih ; Öztürk, Neslihan ; Coşkun, Bora ; Akşar, Mustafa ; Erkaya, Salim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-5d3f58597efd4a6b2e851f79a30d73d4c39d8653140ea1915d3f86fb5f1383453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Births</topic><topic>Cesarean section</topic><topic>Childbirth & labor</topic><topic>Endocrinology</topic><topic>Gynecology</topic><topic>Hospitals</topic><topic>Human Genetics</topic><topic>Maternal-Fetal Medicine</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obstetrics</topic><topic>Obstetrics/Perinatology/Midwifery</topic><topic>Pregnancy</topic><topic>Questionnaires</topic><topic>Social networks</topic><topic>Vagina</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Akpinar, Funda</creatorcontrib><creatorcontrib>Kiliç, Fatih</creatorcontrib><creatorcontrib>Öztürk, Neslihan</creatorcontrib><creatorcontrib>Coşkun, Bora</creatorcontrib><creatorcontrib>Akşar, Mustafa</creatorcontrib><creatorcontrib>Erkaya, Salim</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Akpinar, Funda</au><au>Kiliç, Fatih</au><au>Öztürk, Neslihan</au><au>Coşkun, Bora</au><au>Akşar, Mustafa</au><au>Erkaya, Salim</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of medical and social conditions on the mode of delivery: a prospective questionnaire-based study applied to 404 Turkish obstetricians</atitle><jtitle>Archives of gynecology and obstetrics</jtitle><stitle>Arch Gynecol Obstet</stitle><addtitle>Arch Gynecol Obstet</addtitle><date>2021-05-01</date><risdate>2021</risdate><volume>303</volume><issue>5</issue><spage>1167</spage><epage>1174</epage><pages>1167-1174</pages><issn>0932-0067</issn><eissn>1432-0711</eissn><abstract>Purpose
To identify the factors that influence provider’s decisions on method of delivery in a country where national cesarean delivery rate (CDR) among all births increased steadily from 21 to 56% in a 16-year period.
Methods
We planned nine birth scenarios, in which both delivery modes were plausible, and we used self-administered questionnaire to ask obstetricians for their preferred mode of delivery in these scenarios. If the choice was cesarean delivery (CD), the provider was asked to state the reason for choosing this method. We grouped respondents according to number of years in their occupation, working sector (state, university or private hospital) and academic degree.
Results
Four hundred and four obstetricians completed the questionnaire. Preference for CD in all scenarios was comparable between male and female obstetricians (
p
= 0.334) and between specialists, associate professors and professors (
p
= 0.812). The most frequent reason for choice of CD in all nine scenarios was fear of fetal risk and/or fear of litigation.
Conclusion
Fear of litigation was found to be the major factor influencing CD choice. This fear not only increases the CDR but also results in loss of training in breech delivery and operative vaginal delivery, forming a vicious cycle.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33095303</pmid><doi>10.1007/s00404-020-05842-6</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-9388-0374</orcidid></addata></record> |
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| ispartof | Archives of gynecology and obstetrics, 2021-05, Vol.303 (5), p.1167-1174 |
| issn | 0932-0067 1432-0711 |
| language | eng |
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| source | SpringerLink Journals |
| subjects | Births Cesarean section Childbirth & labor Endocrinology Gynecology Hospitals Human Genetics Maternal-Fetal Medicine Medicine Medicine & Public Health Obstetrics Obstetrics/Perinatology/Midwifery Pregnancy Questionnaires Social networks Vagina |
| title | The effect of medical and social conditions on the mode of delivery: a prospective questionnaire-based study applied to 404 Turkish obstetricians |
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