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：母亲对选择性剖腹产的态度：结果、期望和满意度 美国剖腹产的发生率正在上升，2004 年达到 29%。美国剖腹产中“选择性”的比例未知，定义为在没有产妇或产科指征的情况下进行剖腹产。 2003 年，据估计美国 2-3% 的新生儿（当年超过 40,000 例）是选择性剖腹产。这一比率在两年内增长了 36%。为了应对这种明显的快速增长，NICHD 于 2006 年召开了一次科学状况会议，讨论“应产妇要求进行剖腹产 (CDMR)”的问题。据推测，消费者的选择导致了选择性剖腹产的增加。然而，最近的一项调查表明，选择性剖腹产的增长可能反映了医生的偏好，而不是母亲的偏好。在那次调查中，9% 的新妈妈“受到健康专家的压力”而接受剖腹产，但只有不到 1% 的新妈妈选择了 CDMR。由于调查人群中选择性剖腹产的发生率较低，研究人员无法探究选择剖腹产的女性的态度和目标。在审查了这些数据和其他数据后，NICHD 科学状况小组得出结论，需要进行更多研究来解决我们目前对 CDMR、CDMR 后患者满意度以及 CDMR 与其他治疗后的生活质量结果的认识的局限性。出生方式。在这项拟议的研究中，我们将调查寻求选择性剖腹产的妇女的态度和期望是否与计划阴道分娩的妇女不同。此外，我们将探讨这两组之间对分娩经历的满意度是否不同。我们将招募计划选择性剖腹产的女性和计划阴道分娩的女性作为对照组。利用从这两组收集的数据，我们将实现以下具体目标：（1）调查这两组之间分娩相关目标的差异，（2）调查计划的分娩路线是否影响这些群体对分娩经历的满意度(3) 描述有关交付方式的决策过程。这将使我们能够估计可归因于 CDMR 的选择性剖腹产的比例。我们的长期目标是了解母亲的期望和偏好如何影响分娩决策。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一步。有关患者期望、满意度和结果的更多信息对于提高我们对美国择期剖宫产明显快速增长的认识至关重要。 / 相关性：母亲对选择性剖腹产的态度：结果、期望和满意度 美国每年有超过 400 万人出生，选择性剖腹产对公共健康的影响可能是巨大的。选择性剖腹产率每增加 1%，就会导致剖腹产婴儿数量增加 40,000 例。该项目将调查母亲的期望和偏好如何影响分娩决定，并将增进我们对美国选择性剖腹产明显快速增长的认识。

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