Do provider birth attitudes influence cesarean delivery rate: a cross-sectional study

BMC Pregnancy and Childbirth
Emily White VanGompelJoy Melnikow

Abstract

When used judiciously, cesarean sections can save lives; but in the United States, prior research indicates that cesarean birth rates have risen beyond the threshold to help women and infants and become a contributor to increased maternal mortality and rising healthcare costs. Healthy People 2020 has set the goal for nulliparous, term, singleton, vertex (NTSV) cesarean birth rate at no more than 23.9% of births. Currently, cesarean rates vary from 6% to 69% in US hospitals, unexplained by clinical or demographic factors. This wide variation in cesarean use is also seen among individual providers of intrapartum care. Previous research of birth attitudes found providers of intrapartum care hold widely differing views, which may be a key underlying factor influencing practice variation; however, further study is needed to determine if differences in attitudes are associated with differences in clinical outcomes. The purpose of this study was to estimate the association between individual provider attitudes towards birth and their low-risk primary cesarean rate. Four hundred providers were drawn from a stratified random sample of all California providers of intrapartum care in 2013 and surveyed for their attitudes towards various a...Continue Reading

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Citations

Sep 16, 2020·Journal of Midwifery & Women's Health·Rebecca R S ClarkPhyllis W Sharps
Feb 23, 2019·Health Services Research·Emily White VanGompelElliott Main
Jun 19, 2019·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Ranya MulchandaniFrancesca L Cavallaro
Jul 26, 2019·Clinical Obstetrics and Gynecology·Melissa G Rosenstein
Jan 17, 2021·BMJ Quality & Safety·Emily White VanGompel, Elliott K Main
Jun 20, 2021·Birth·Andrea WendlingJean Kerver

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Methods Mentioned

BETA
cesareans
cesarean
cesarean section

Software Mentioned

SAS
QUARISMA

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