ArticleBJOG : an international journal of obstetrics and gynaecology2018
Obstetrical providers' preferred mode of delivery and attitude towards non-medically indicated caesarean sections: a cross-sectional study.
Article in BJOG : an international journal of obstetrics and gynaecology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed, 31 citations in OpenAlex.
- Women and clinicians' views, preferences and experiences of caesarean section and vaginal birth in India: a qualitative substudy of the 'Misoprostol or Oxytocin for Labour Induction' (MOLI) trial.BMJ global health · 2025Trial
- Health Professionals' Attitudes to Maternal Request for Caesarean Birth: A Scoping Review.Birth (Berkeley, Calif.) · 2026Article
- Trends in Cesarean Section Rates in Trinidad and Tobago, 2018-2025: A National Surveillance Study.Cureus · 2026Article
- Informing Decision-Making About Caesarean Birth: A Delphi Study to Develop a Core Information Set.BJOG : an international journal of obstetrics and gynaecology · 2025Article
- Caesarean section on maternal request - a qualitative study of stakeholders´ views.Reproductive health · 2025Article
- The struggle over caesarean section on maternal request: an ethical principles approach to Swedish media portrayal.Reproductive health · 2025Article
- Early Neonatal Mortality (< 24 h) in Ecuador: A Population-Based Study on the Impact of Apgar Score, Gestational Age, Birth Weight, Delivery Type, and Healthcare Level.International journal of pediatrics · 2025Article
- Health care provider's perceived factors for the increased practice of caesarean delivery in North West Amhara referral hospitals, Ethiopia, 2022: a qualitative study.Frontiers in global women's health · 2025Article
- Navigating the choices of decision-making in cesarean sections: medical and personal perspectives from a qualitative study in Iraq.The Pan African medical journal · 2025Article
- Psychological predictors of cesarean delivery on maternal request in upper middle-income settings and the mitigating role of prenatal psychological education: a multicenter longitudinal study.Frontiers in medicine · 2025Article
- Guideline documents on caesarean section on maternal request in Sweden: varying usability with a restrictive approach.BMC health services research · 2023Article
- Perceptions of Obstetrics/Gynecology Surgeons on Non-medically Indicated Cesarean Sections: A Cross-Sectional Study.Cureus · 2023Article
- Clinicians' views of factors influencing decision-making for CS for first-time mothers-A qualitative descriptive study.PloS one · 2022Article
- The association of timing of repeat cesarean with outcomes among a cohort of Guatemalan women with a history of prior cesarean birth.BMC pregnancy and childbirth · 2021Article
- Birth outcomes following cesarean delivery on maternal request: a population-based cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021Article
- Feasibility of Conducting a Trial Assessing Benefits and Risks of Planned Caesarean Section Versus Planned Vaginal Birth: A Cross-Sectional Study.Maternal and child health journal · 2021Article
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18 authors at 8 institutions in 2 countries.
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Abstract
objectiveTo describe obstetrical providers' delivery preferences and attitudes towards caesarean section without medical indication, including on maternal request, and to examine the association between provider characteristics and preferences/attitudes.
designCross-sectional study.
settingTwo public and two private hospitals in Argentina. POPULATION: Obstetrician-gynaecologists and midwives who provide prenatal care and/or labour/delivery services.
methodsProviders in hospitals with at least 1000 births per year completed a self-administered, anonymous survey.
main outcome measuresProvider delivery preference for low-risk women, perception of women's preferred delivery method, support for a woman's right to choose her delivery method and willingness to perform caesarean section on maternal request.
results168 providers participated (89.8% coverage rate). Providers (93.2%) preferred a vaginal delivery for their patients in the absence of a medical indication for caesarean section. Whereas 74.4% of providers supported their patient's right to choose a delivery method in the absence of a medical indication for caesarean section and 66.7% would perform a caesarean section upon maternal request, only 30.4% would consider a non-medically indicated caesarean section for their own personal delivery or that of their partner. In multivariate adjusted analysis, providers in the private sector [odds ratio (OR) 4.70, 95% CI 1.19-18.62] and obstetrician-gynaecologists (OR 4.37, 95% CI 1.58-12.09) were more willing than either providers working in the public/both settings or midwives to perform a caesarean section on maternal request.
conclusionsDespite the ethical debate surrounding non-medically indicated caesarean sections, we observe very high levels of support, especially by providers in the private sector and obstetrician-gynaecologists, as aligned with the high caesarean section rates in Argentina. TWEETABLE ABSTRACT: Non-medically indicated c-section? 74% of sampled Argentine OB providers support women's right to choose.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.