Obstetricians' opinions and attitudes toward maternal refusal of recommended cesarean delivery in Nigeria
Abstract Objective To assess the opinions and attitudes of Nigerian obstetricians toward women's refusal of cesarean delivery. Method We used a questionnaire with 5 clinical scenarios drawn from published cases in which Nigerian women refused to undergo a recommended cesarean delivery. Results...
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| Veröffentlicht in: | International journal of gynecology and obstetrics 2009-06, Vol.105 (3), p.248-251 |
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| container_title | International journal of gynecology and obstetrics |
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| creator | Chigbu, Chibuike O. Ezenyeaku, Cyril C. Ezenkwele, Eziamaka |
| description | Abstract Objective To assess the opinions and attitudes of Nigerian obstetricians toward women's refusal of cesarean delivery. Method We used a questionnaire with 5 clinical scenarios drawn from published cases in which Nigerian women refused to undergo a recommended cesarean delivery. Results Most obstetricians (84.8%) advocated continuous counseling of these women but, from their response to the scenarios, few (13.7%–16.1%) would actually do so. Insufficient facilities and poor logistics for emergency obstetric care were their stated major reason for not respecting maternal choices in situations where vaginal delivery could have been given a chance. Conclusion The possibility of providing emergency obstetric care would remove many indications for cesarean delivery from the list of absolute indications in Nigeria; and management guidelines would protect obstetricians in the event of litigation, and improve their acceptance and respect of maternal choice. |
| doi_str_mv | 10.1016/j.ijgo.2009.01.012 |
| format | Article |
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Method We used a questionnaire with 5 clinical scenarios drawn from published cases in which Nigerian women refused to undergo a recommended cesarean delivery. Results Most obstetricians (84.8%) advocated continuous counseling of these women but, from their response to the scenarios, few (13.7%–16.1%) would actually do so. Insufficient facilities and poor logistics for emergency obstetric care were their stated major reason for not respecting maternal choices in situations where vaginal delivery could have been given a chance. Conclusion The possibility of providing emergency obstetric care would remove many indications for cesarean delivery from the list of absolute indications in Nigeria; and management guidelines would protect obstetricians in the event of litigation, and improve their acceptance and respect of maternal choice.</description><identifier>ISSN: 0020-7292</identifier><identifier>EISSN: 1879-3479</identifier><identifier>DOI: 10.1016/j.ijgo.2009.01.012</identifier><identifier>PMID: 19232613</identifier><identifier>CODEN: IJGOAL</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Adult ; Attitude of Health Personnel ; Biological and medical sciences ; Cesarean delivery ; Cesarean Section - psychology ; Directive Counseling - methods ; Emergency Medical Services - standards ; Female ; Gynecology. Andrology. Obstetrics ; Health Services Accessibility ; Humans ; Male ; Medical sciences ; Middle Aged ; Nigeria ; Obstetricians' attitude ; Obstetrics and Gynecology ; Patients' refusal ; Physicians - psychology ; Physicians - statistics & numerical data ; Pregnancy ; Surveys and Questionnaires ; Treatment Refusal - psychology</subject><ispartof>International journal of gynecology and obstetrics, 2009-06, Vol.105 (3), p.248-251</ispartof><rights>International Federation of Gynecology and Obstetrics</rights><rights>2009 International Federation of Gynecology and Obstetrics</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4878-fcba1b80901f7a030c3b59c340ea4046995583217ac7b39b4c45ff0f8a4e16b3</citedby><cites>FETCH-LOGICAL-c4878-fcba1b80901f7a030c3b59c340ea4046995583217ac7b39b4c45ff0f8a4e16b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1016%2Fj.ijgo.2009.01.012$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1016%2Fj.ijgo.2009.01.012$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21500595$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19232613$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chigbu, Chibuike O.</creatorcontrib><creatorcontrib>Ezenyeaku, Cyril C.</creatorcontrib><creatorcontrib>Ezenkwele, Eziamaka</creatorcontrib><title>Obstetricians' opinions and attitudes toward maternal refusal of recommended cesarean delivery in Nigeria</title><title>International journal of gynecology and obstetrics</title><addtitle>Int J Gynaecol Obstet</addtitle><description>Abstract Objective To assess the opinions and attitudes of Nigerian obstetricians toward women's refusal of cesarean delivery. Method We used a questionnaire with 5 clinical scenarios drawn from published cases in which Nigerian women refused to undergo a recommended cesarean delivery. Results Most obstetricians (84.8%) advocated continuous counseling of these women but, from their response to the scenarios, few (13.7%–16.1%) would actually do so. Insufficient facilities and poor logistics for emergency obstetric care were their stated major reason for not respecting maternal choices in situations where vaginal delivery could have been given a chance. Conclusion The possibility of providing emergency obstetric care would remove many indications for cesarean delivery from the list of absolute indications in Nigeria; and management guidelines would protect obstetricians in the event of litigation, and improve their acceptance and respect of maternal choice.</description><subject>Adult</subject><subject>Attitude of Health Personnel</subject><subject>Biological and medical sciences</subject><subject>Cesarean delivery</subject><subject>Cesarean Section - psychology</subject><subject>Directive Counseling - methods</subject><subject>Emergency Medical Services - standards</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Health Services Accessibility</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nigeria</subject><subject>Obstetricians' attitude</subject><subject>Obstetrics and Gynecology</subject><subject>Patients' refusal</subject><subject>Physicians - psychology</subject><subject>Physicians - statistics & numerical data</subject><subject>Pregnancy</subject><subject>Surveys and Questionnaires</subject><subject>Treatment Refusal - psychology</subject><issn>0020-7292</issn><issn>1879-3479</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNUsFu1DAQtRCILoUf4IB8AU5Zxo4TxxJCQhUtRRV7oHfLcSaVQ2IvdtJq_x5HuyoSB4Q00vjw3oznvUfIawZbBqz-MGzdcBe2HEBtgeXiT8iGNVIVpZDqKdkAcCgkV_yMvEhpAAAmGXtOzpjiJa9ZuSFu16YZ5-isMz69p2HvvAs-UeM7aubZzUuHic7hwcSOTmbG6M1II_ZLyj30-WnDNKHvsKMWk4loPO1wdPcYD9R5-t3dYXTmJXnWmzHhq1M_J7eXX24vvhY3u6vri883hRWNbIretoa1DShgvTRQgi3bStlSABoBolaqqpqSM2msbEvVCiuqvoe-MQJZ3Zbn5N1x7D6GXwumWU8uWRxH4zEsSdcyKyTqKgP5EWhjSCkfpPfRTSYeNAO96qsHveqrV301sFw8k96cpi_thN0fyknQDHh7AphkzdhH461LjzjOKoBKrdvlEffgRjz8x2p9_e1qx0WTmR-PTMwi3juMOlmH3mLnshWz7oL79wWf_qLbMVue__oTD5iGsKwGJ8104hr0jzVDa4SyITk-TV3-BlIrwCs</recordid><startdate>200906</startdate><enddate>200906</enddate><creator>Chigbu, Chibuike O.</creator><creator>Ezenyeaku, Cyril C.</creator><creator>Ezenkwele, Eziamaka</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200906</creationdate><title>Obstetricians' opinions and attitudes toward maternal refusal of recommended cesarean delivery in Nigeria</title><author>Chigbu, Chibuike O. ; Ezenyeaku, Cyril C. ; Ezenkwele, Eziamaka</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4878-fcba1b80901f7a030c3b59c340ea4046995583217ac7b39b4c45ff0f8a4e16b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Attitude of Health Personnel</topic><topic>Biological and medical sciences</topic><topic>Cesarean delivery</topic><topic>Cesarean Section - psychology</topic><topic>Directive Counseling - methods</topic><topic>Emergency Medical Services - standards</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Health Services Accessibility</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nigeria</topic><topic>Obstetricians' attitude</topic><topic>Obstetrics and Gynecology</topic><topic>Patients' refusal</topic><topic>Physicians - psychology</topic><topic>Physicians - statistics & numerical data</topic><topic>Pregnancy</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Refusal - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chigbu, Chibuike O.</creatorcontrib><creatorcontrib>Ezenyeaku, Cyril C.</creatorcontrib><creatorcontrib>Ezenkwele, Eziamaka</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chigbu, Chibuike O.</au><au>Ezenyeaku, Cyril C.</au><au>Ezenkwele, Eziamaka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Obstetricians' opinions and attitudes toward maternal refusal of recommended cesarean delivery in Nigeria</atitle><jtitle>International journal of gynecology and obstetrics</jtitle><addtitle>Int J Gynaecol Obstet</addtitle><date>2009-06</date><risdate>2009</risdate><volume>105</volume><issue>3</issue><spage>248</spage><epage>251</epage><pages>248-251</pages><issn>0020-7292</issn><eissn>1879-3479</eissn><coden>IJGOAL</coden><abstract>Abstract Objective To assess the opinions and attitudes of Nigerian obstetricians toward women's refusal of cesarean delivery. Method We used a questionnaire with 5 clinical scenarios drawn from published cases in which Nigerian women refused to undergo a recommended cesarean delivery. Results Most obstetricians (84.8%) advocated continuous counseling of these women but, from their response to the scenarios, few (13.7%–16.1%) would actually do so. Insufficient facilities and poor logistics for emergency obstetric care were their stated major reason for not respecting maternal choices in situations where vaginal delivery could have been given a chance. Conclusion The possibility of providing emergency obstetric care would remove many indications for cesarean delivery from the list of absolute indications in Nigeria; and management guidelines would protect obstetricians in the event of litigation, and improve their acceptance and respect of maternal choice.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>19232613</pmid><doi>10.1016/j.ijgo.2009.01.012</doi><tpages>4</tpages></addata></record> |
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| subjects | Adult Attitude of Health Personnel Biological and medical sciences Cesarean delivery Cesarean Section - psychology Directive Counseling - methods Emergency Medical Services - standards Female Gynecology. Andrology. Obstetrics Health Services Accessibility Humans Male Medical sciences Middle Aged Nigeria Obstetricians' attitude Obstetrics and Gynecology Patients' refusal Physicians - psychology Physicians - statistics & numerical data Pregnancy Surveys and Questionnaires Treatment Refusal - psychology |
| title | Obstetricians' opinions and attitudes toward maternal refusal of recommended cesarean delivery in Nigeria |
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