Mothers' attitudes about elective cesarean: results, expectations & satisfaction

母亲对选择性剖宫产的态度：结果、期望

• 批准号: 7844181
• 负责人: VICTORIA Lynn HANDA
• 金额: $ 1.06万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-06-01 至 2009-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7844181
• 关键词: Address; Affect; Attitude; Baltimore; Birth; Caring; Childbirth; Client satisfaction; Country; Data; Goals; Growth; Health; Health Professional; Healthcare; Incidence; Institution; Investigation; Knowledge; Mothers; National Institute of Child Health and Human Development; Outcome; Physicians; Pregnancy; Process; Prospective Studies; Provider; Public Health; Quality of life; Recruitment Activity; Reporting; Research; Research Personnel; Role; Route; Science; Surveys; Teaching Hospitals; Time; Vaginal delivery procedure; Woman; Women' s Group; abstracting; comparison group; expectation; experience; patient expectation; patient oriented; population survey; preference; pressure; rapid growth; response; satisfaction; suburb; symposium

DESCRIPTION (provided by applicant): Summary/Abstract: Mothers' Attitudes about Elective Cesarean: Results, Expectations & Satisfaction The incidence of cesarean delivery is rising in the US, reaching 29% in 2004. An unknown proportion of US cesareans are "elective", defined as cesarean delivery in the absence of maternal or obstetrical indication. In 2003, it was estimated that 2- 3% of US births (more than 40,000 deliveries that year) were elective cesarean deliveries. That rate represented a 36% increase over two years. In response to this apparent rapid rise, the NICHD held a State-of-the-Science Conference in 2006 to address "Cesarean Delivery on Maternal Request (CDMR)". Presumably, consumer choice contributes to the rise in elective cesarean. However, a recent survey suggested that growth of elective cesarean may reflect physician, rather than maternal, preferences. In that survey, 9% of new mothers had "experienced pressure from a health professional" to undergo cesarean delivery but less than 1% had elected CDMR. Because of the low incidence of elective cesarean in the survey population, the researchers were unable to explore the attitudes and goals of women who elect cesarean birth. After reviewing these and other data, the NICHD State-of-the-Science Panel concluded that additional research is needed to address the limitations in our current knowledge about CDMR, patient satisfaction after CDMR, and quality-of-life outcomes after CDMR versus other modes of birth. In this proposed research, we will investigate whether the attitudes and expectations of women seeking elective cesarean differ from those of women planning vaginal birth. In addition, we will explore whether satisfaction with the birth experience differs between these two groups. We will recruit women planning elective cesarean and a comparison group of women planning vaginal birth. Using data collected from these two groups, we will address the following specific aims: (1) to investigate differences in birth-related goals between these two groups, (2) to investigate whether planned route of delivery influences satisfaction with the birth experience in these groups, and (3) to describe the decision process regarding mode of delivery. This will allow us to estimate the proportion of elective cesarean delivery that can be attributed to CDMR. Our long term objectives are to understand how maternal expectations and preferences affect decisions about childbirth. This research will be an important step to understanding the role of consumer choice in obstetrical practices. More information on patient expectations, satisfaction, and outcomes is critical to advancing our knowledge regarding the apparent rapid growth of elective cesarean delivery in the US. / Relevance: Mothers' Attitudes about Elective Cesarean: Results, Expectations & Satisfaction With over 4 million births in the US each year, the public health impact of elective cesarean delivery is potentially enormous. A 1% rise in elective cesarean would result in 40,000 additional cesarean births. This project will investigate how maternal expectations and preferences affect decisions about childbirth and will advance our knowledge regarding the apparent rapid growth of elective cesarean delivery in the US.

描述（由申请人提供）：摘要/摘要：母亲对选修剖宫产的态度：剖宫产交付的发生率在美国增加，2004年达到29％。美国剖宫产中未知的比例是“选举”，被定义为如何没有产妇或妇产科迹象，定义为胸海的交付。 2003年，估计有2-3％的美国出生（当年超过40,000次分娩）是剖宫产。该速度在两年内增长了36％。为了回应这一明显的快速上升，NICHD于2006年举行了一场最先进的会议，以解决“剖腹产孕产妇请求（CDMR）”。据推测，消费者选择有助于选修剖宫产。但是，最近的一项调查表明，剖宫产的增长可能反映了医师而不是母亲的偏好。在这项调查中，有9％的新母亲“从卫生专业人员身上遭受了剖腹产的压力”，但不到1％的人当选了CDMR。由于剖宫产在调查人群中的发生率低，研究人员无法探索选举剖宫产的妇女的态度和目标。在审查了这些数据和其他数据之后，NICHD的最先进小组得出结论，需要进行其他研究，以解决我们当前有关CDMR的知识，CDMR后患者满意度以及CDMR与其他出生方式后的生活质量结果的局限性。在这项拟议的研究中，我们将调查寻求选修剖宫产的妇女的态度和期望与计划阴道出生的妇女的态度和期望是否不同。此外，我们将探讨这两组之间对出生经验的满意度是否有所不同。我们将招募计划剖宫产的妇女和计划阴道分娩的妇女的比较组。使用从这两组收集的数据，我们将解决以下具体目的：（1）调查这两个组之间与出生相关目标的差异，（2）调查计划的分娩途径是否影响这些组中的出生经验的满意度，以及（3）描述有关交付方式的决策过程。这将使我们能够估计可以归因于CDMR的选修剖宫产的比例。我们的长期目标是了解产妇的期望和偏好如何影响分娩的决策。这项研究将是了解消费者选择在产科实践中的作用的重要步骤。有关患者期望，满意度和结果的更多信息对于促进我们对美国选修剖宫产的明显快速增长的知识至关重要。 /相关性：母亲对选修剖宫产的态度：每年美国超过400万人出生的结果，期望和满意度，剖宫产分娩的公共卫生影响可能是巨大的。选修剖宫产1％会增加40,000个剖宫产。该项目将调查产妇的期望和偏好如何影响分娩的决策，并将促进我们对美国选修剖宫产的明显快速增长的了解。

项目成果

Maternal goals for childbirth associated with planned vaginal and planned cesarean birth.

与计划的阴道分娩和计划的剖腹产相关的母亲分娩目标。

• DOI: 10.1055/s-0031-1280598
• 发表时间: 2011
• 期刊: American journal of perinatology
• 影响因子: 2
• 作者: Quiroz,LieschenH;Blomquist,JoanL;Macmillan,Deborah;McCullough,Alexis;Handa,VictoriaL
• 通讯作者: Handa,VictoriaL