Attitudes towards mode of birth among Swedish midwives

Abstract

Short running title: Attitudes towards mode of delivery2 Attitudes towards mode of delivery 2 Abstract Objective: To investigate midwives' attitudes and opinions on mode of delivery Design: Exploratory descriptive study. Data were collected via study specific questionnaires.Setting: South-eastern Sweden.Participants: All midwives working in two counties. Findings:Regardless of age, experience and working field the midwives considered a reasonable caesarean section (CS) rate to be around 11.5 %. None of the participants thought that the CS rate was too low. Midwives younger than 50 years of age tended to consider the current rate of CS to be too high (p = 0.059). Midwives working at a delivery ward stated that they thought the current CS rate was too high compared with midwives who worked at the antenatal care clinics (ACC) (p< 0. 001).Midwives working at a ACC agreed to the statements "One should agree to a woman's right to have an elective CS" (p<0.001) and "elective CS is the best choice for a woman with fear of delivery" (p = 0.046) to a higher degree than their colleagues at the delivery wards, no matter of age or working experience. Key conclusions and implications for practice:Midwives in the ACC setting are more willing to accept CS at the woman's request and for women with fear of delivery. It is of importance that ACC caregivers and the professionals at the delivery ward increase their collaboration with one another in an attempt to reach a consensus. 3Attitudes towards mode of delivery 3

Evaluating a Midwife‐Led Model of Antenatal Care for Women with a Previous Cesarean Section: A Retrospective, Comparative Cohort Study

“…Indeed, the differences between the professions could predate training as the individuals attracted to each profession may differ based on the underpinning philosophies inherent in each field, especially as academic entry requirements for midwifery and medical training are now similar in the United Kingdom. Health professionals' personal attitudes also appear to be influenced by the hospital and even the department in which they work . The theory that individual professionals are influenced by the collective attitude of the unit in which they practice may explain the overall high VBAC rate in this study, especially after the implementation of midwife‐led antenatal care.…”

Association between Awareness Regarding Elective Cesarean Section Complications and (Age, Educational Level) at Maternity and Delivery Teaching Hospital in Holy Karbala City

“…This is when CS imposes more risk to the mother, compared to vaginal delivery, and includes complications such as endomyometritis, bleeding, thromboembolism, preterm labor and mortality (in mother), respiratory distress syndrome, resistant pulmonary hypertension, and damages like injury, bruise, or other traumas in infant (5). In most of the developed countries, it has been tried to reduce CS and its complications by interventions such as health care provider's education and change in their attitude (6).In Iran, some strategies have been made to reduce CS. For instance, it has been reported a reduction in rate of CS by 15% through mothers' education and their psychological and mental preparation to have a natural delivery (5).…”

‘Safe passage’: pregnant Iranian Kurdish women’s choice of childbirth method

“…They aimed to determine women's role in the decision to have a caesarean section with specific emphasis on women requesting, demanding, or choosing it. Other studies that examined women's preferred type of birth involved specific subgroups of women, such as London physicians (Ghetti, 2004), Swedish midwives (Gunnervik et al, 2008), Gynaecologists from the Netherlands (Kwee et al, 2004) and women with a history of previous caesarean sections (Moffat et al 2006), focus on preferences for a caesarean section only (Eftekhar and Steer, 2000).…”