Factors Associated with the Type of Cesarean Section in Greece and Their Correlation with International Guidelines

Antoniou, Evangelia; Orovou, Eirini; Iliadou, Maria; Sarella, Angeliki; Palaska, Ermioni; Sarantaki, Antigoni; Iatrakis, Georgios; Δάγλα, Μαρία

doi:10.5455/aim.2021.29.38-44

Cited by 15 publications

(12 citation statements)

References 36 publications

(37 reference statements)

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“…Recent Greek studies [ 14 , 34 ] have found caesarean section rates at 53.8% and 58%, whereas, in our study, disappointingly, a much higher percentage of women had delivered via caesarean section (66.8%). A relative observation was that women who had undergone caesarean section correlated negatively with breastfeeding indicators, as they were half as likely to fully breastfeed their infant in the first and third month postpartum, and breastfeed without giving any human-milk substitute in the sixth month postpartum, in comparison with women who had a vaginal delivery.…”

Section: Discussioncontrasting

confidence: 97%

Frequency and Determinants of Breastfeeding in Greece: A Prospective Cohort Study during the COVID-19 Pandemic

et al. 2022

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Breastfeeding is considered to be the cornerstone of child health. In Europe however, overall breastfeeding rates remain low. The present study aimed at estimating the frequency of breastfeeding in Greece during the COVID-19 pandemic period and comparing findings with the latest national study in order to identify a potential impact of the pandemic. Additionally, possible correlations of socio-cultural and demographic characteristics with breastfeeding indicators were investigated. This prospective cohort study included 847 women from five tertiary maternity hospitals, between January and December 2020. Data were collected by a structured questionnaire via interview during hospitalization and via telephone in the first, third and sixth month postpartum. Results showed that all breastfeeding indicators improved over the last three years. Full breastfeeding reached 7.2%, contrary to 0.78% of the latest national study at six months postpartum. Employment, marital status, educational level, mode of delivery, type of maternity hospital, body mass index before pregnancy, previous breastfeeding experience of the mother and infant’s birth weight correlated significantly with breastfeeding indicators at different time periods. The COVID-19 pandemic seems to have favorably influenced breastfeeding initiation and duration in Greece due to lockdowns, home confinement and teleworking.

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Section: Discussioncontrasting

confidence: 97%

Frequency and Determinants of Breastfeeding in Greece: A Prospective Cohort Study during the COVID-19 Pandemic

et al. 2022

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“…Given that CS is associated with P-PTSD [27][28][29], in Greek mothers the problem is greater due to the high prevalence of CS. Actually, every year in Greece, more than half of deliveries are cesarean deliveries [30] deteriorating the problem.…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the Post Traumatic Stress Disorder Checklist for DSM-5 (PCL-5) in Greek women after cesarean section

2021

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The aim of this study was to examine psychometric properties of the revised Posttraumatic Stress Checklist (PCL-5) for Diagnostic and Statistical Manual– 5th Edition (DSM-5) in Greek postpartum women after Cesarean Section(CS) (emergency-elective).So far, there was no study in Greece assessing psychometric properties of the PCL-5 in women after CS. The participating women (N = 469), who gave birth with emergency and elective CS at the Greek University Hospital of Larisa, have consented to participate in two phases of the survey and completed self-report questionnaires, the 2nd day after CS and at the 6th week after CS. Measures used in this study were the PCL-5 for DSM-5, the Life Events Checklist (LEC-5), Criteria B, C, D, E, and Criterion A, specifically designed for detection of posttraumatic stress disorder (PTSD) symptoms in postpartum period. To evaluate the internal reliability of the PCL-5 two different indices of internal consistency were calculated, i.e., Cronbach’s alpha (.97) and Guttman’ssplit-half (.95), demonstrating high reliability level. The data were positively skewed, suggesting that the reported levels of PTSD among our participants were low. Factor analyses demonstrated acceptable construct validity; a comparison of thePCL-5 with the other measures of the same concept showed a good convergent validity of the scale. Overall, all the results suggest that the four-factor PCL-5 seemed to work adequately for the Greek sample of women after CS.

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“…Dimitra Varnakioti 1 , Kleanthi Gourounti 1 , Antigoni Sarantaki 1 , Chara Tzavara 2 , Aikaterini Lykeridou 1 years, reaching 56.8% in 2016 or more in some areas 8 . A recent study indicates that in Greece, most women continue to give birth by CS, which leads to a major public health problem with economic, ethical and humanitarian implications 9 . In 2019, experts from the Organization of United Nations noted that in Greece the law about maternity protection was not being implemented uniformly and expressed concern about ongoing discrimination based on pregnancy and family responsibilities 10 .…”

Section: Introductionmentioning

confidence: 99%

The Development and the Psychometric evaluation of the Adolescents Intensions towards the Birth Options Scale in Greek

Varnakioti¹,

Gourounti²,

Sarantaki³

et al. 2022

Eur J Midwifery

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INTRODUCTION Worldwide, the rising of caesarean section rates is a major public health issue. Little is known regarding birth attitudes held by students who are the next generation of parents. The aim of this study was to develop and assess the psychometric properties of the Adolescents Intentions towards Birth Options Scale (AIBOS), a self-report and short instrument assessing intentions towards birth options in young adolescents. METHODS The AIBOS was framed by Ajzen's theory of planned behavior and developed in a three-phase process using an integrated mixed-methods approach that included literature reviews, professional focus groups, and a psychometric survey evaluation. The psychometric evaluation was conducted by recruiting a sample of 480 high school students. Content validity, exploratory factor analysis, discriminant and construct validity, test-retest reliability and internal consistency were explored. RESULTS The expert panel determined that the content validity was satisfactory. The final 17-item scale consisted of five factors explaining 48.9% of the total variance in the data. Discriminant validity was satisfactory. Cronbach's α coefficient was over 0.7 for each factor, indicating acceptable internal consistency of the questionnaire. There was significant agreement in all subscales as emerged from test-retest. CONCLUSIONS The AIBOS demonstrated good content validity, an easily interpretable five-factor structure, acceptable internal consistency, high test-retest reliability, and satisfactory discriminant and construct validity with sample characteristics. It is an easily comprehensible, easily completed tool, which matches the culture of young adolescents.

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Factors Associated with the Type of Cesarean Section in Greece and Their Correlation with International Guidelines

Cited by 15 publications

References 36 publications

Frequency and Determinants of Breastfeeding in Greece: A Prospective Cohort Study during the COVID-19 Pandemic

Frequency and Determinants of Breastfeeding in Greece: A Prospective Cohort Study during the COVID-19 Pandemic

Psychometric properties of the Post Traumatic Stress Disorder Checklist for DSM-5 (PCL-5) in Greek women after cesarean section

The Development and the Psychometric evaluation of the Adolescents Intensions towards the Birth Options Scale in Greek

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