The preferred mode of delivery of medical professionals and non-medical professional mothers-to-be and the impact of additional information on their decision: an online questionnaire cohort study

Bihler, Julia; Tunn, Ralf; Reisenauer, Christl; Kolenic, Giselle; Pauluschke-Froehlich, Jan; Wagner, Philipp; Abele, Harald; Rall, Katharina; Naumann, Gert; Wallwiener, Stephanie; Wallwiener, Markus; Sohn, Christof; Brucker, Sara Y.; Huebner, Markus

doi:10.1007/s00404-018-4970-7

Cited by 7 publications

(11 citation statements)

References 21 publications

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“…While analysing the views of midwives regarding the optimum mode of delivery, Baran and Skręt-Magierło also indicate that 89% of studied subjects would choose vaginal delivery [9]. Medical professionals from Germany indicated that vaginal delivery was preferred by 90.4% of them [10].…”

Section: Methodsmentioning

confidence: 99%

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Preferences regarding the mode of delivery in occupational groups of nurses and midwives

Janczyk¹,

Gwoździańska²,

Ostrogórska³

et al. 2019

ppiel

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Introduction: The rate of caesarean sections in Poland is constantly increasing. In Poland, the selection of the mode of delivery does not depend on the woman's will; however, the preferences of childbearing women are shaped by their knowledge and beliefs related to the labour. The preferences of nurses and midwives may be shaped by the specificity of the work performed by them. Aim of the study: An analysis of the preferences related to the mode of delivery among occupational groups of nurses and midwives. Material and methods: The studies were carried out among 202 nurses and midwives using the diagnostic poll method and the survey questionnaire technique. Our own survey questionnaire and the Self-report Labour Anxiety Questionnaire (KLP II) were used.Results: The conducted studies demonstrated that 88.12% of midwives, compared to 75.25% nurses, prefer vaginal delivery. Midwives significantly more frequently (p = 0.005) than nurses indicated vaginal delivery as safer for the mother and for the child, and as allowing for faster recovery to normal physical fitness. For the nurses and midwives opting for the caesarean section, the most significant reasons were anxiety about perineal injuries and concern about the child's health. The midwives, more frequently than nurses, declared the selection of non-pharmacological methods of alleviating pain. Conclusions: The practiced profession influences the decisions related to the preferred mode of delivery and to the interventions applied during labour. Labour anxiety is a feature that is more frequent among nurses.

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Section: Methodsmentioning

confidence: 99%

“…As many as a half of nurses and one third of midwives believed that vaginal delivery causes the lowering of sexual satisfaction. Half of professionals in Turkey, one third in Germany, and one fifth in China share the same fear [10,17,18]. In the work by Guzikowski et al it was demonstrated that this concern refers to only 3.2% of women [11].…”

Section: Methodsmentioning

confidence: 99%

Preferences regarding the mode of delivery in occupational groups of nurses and midwives

Janczyk¹,

Gwoździańska²,

Ostrogórska³

et al. 2019

ppiel

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“…So kann sie die Frau bereits in der Schwangerschaft für präventive Maßnahmen gewinnen. Das Interesse der Frauen dafür ist groß [7,8]…”

Section: Introductionunclassified

Aspects of Pelvic Floor Protection in Spontaneous Delivery – a Review

Hübner

Rothe²,

Plappert

et al. 2022

Geburtshilfe Frauenheilkd

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The necessity of increasingly addressing aspects of pelvic floor protection, i.e., prevention of the most frequent female pelvic floor disorders, such as urinary incontinence, faecal incontinence and pelvic organ prolapse, is the result of the steadily improving understanding of the association of pregnancy and delivery with the prevalence of these disorders. About a quarter of all women experience one or more such symptoms during their life. Apart from age and weight, pregnancies and births play an important part. While initial discussion of pelvic floor protection often focused very rapidly on the mode of delivery and elective caesarean section as a possible protective intervention, it has become apparent in the last few decades how varied and wide-ranging the options are that can be used to protect against pelvic floor disorders. The mode of delivery as such is “only” one element among numerous other considerations and has diminished markedly in importance. Interprofessionality and interdisciplinarity undoubtedly represent an important development as resulting recommendations must always be incorporated in an overall context that considers mother and child at the same time. Considering the pelvic floor only certainly does not make sense. This review article will analyze in greater detail important pre-, intra- and postpartum aspects that in their entirety can provide insight into the various aspects of pelvic floor protection. The authors regard the following article as an additional basis for discussion on achieving a sustained reduction in the incidence and prevalence of female pelvic floor disorders.

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“…Some women ask for elective CS mostly due to the fear of childbirth, 18 usually expressed as fear of pelvic floor injuries 19 . A survey among medical professionals showed that the VD is the preferred mode of delivery, but more than half would more likely choose CS to preserve the pelvic floor 20 …”

Section: Introductionmentioning

confidence: 99%

“…19 A survey among medical professionals showed that the VD is the preferred mode of delivery, but more than half would more likely choose CS to preserve the pelvic floor. 20 There is no golden standard method to assess the pelvic floor muscle dysfunction, 21 and reported objective measurements of pelvic floor muscle activity comparing CS and VD groups are controversial. [22][23][24][25][26][27] Recent advances in pelvic floor electromyography (EMG) allowed the functional analysis of external anal sphincter with a minimally invasive rectal probe.…”

Section: Introductionmentioning

confidence: 99%

Sphincter muscle activity before and after delivery: Does it depend on the type of birth?

Začesta

Rācene

Cescon³

et al. 2020

J of Obstet and Gynaecol

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Aim There are ongoing discussions whether cesarean section is the safest mode of childbirth to prevent pelvic floor disorders. Pelvic floor electromyography (EMG) allows the analysis of external anal sphincter (EAS) function during voluntary contractions. The primary objective of this study was the evaluation of EMG amplitude of external anal sphincter in women who had vaginal delivery, compared to women who had cesarean section. The secondary objective was to evaluate the anal incontinence score changes before and after delivery between the groups, and to look for any relationship between the clinical and EMG findings. Methods Multichannel surface EMG was detected during maximal contractions in three sessions: (i) during pregnancy, (ii) 6 weeks after delivery and (iii) 1 year after delivery. Women were divided into two groups: cesarean section and vaginal delivery. Results External anal sphincter EMG amplitude decreases 6 weeks after vaginal deliveries from 10.1 to 8.6 μV with effect size of 0.4, but returns to baseline after 1 year. No differences were observed between groups in all other variables. Conclusion No differences were observed after 1 year in EMG activity between the two groups; however, a slight decrease of sphincter muscle amplitude was noted 6 weeks after vaginal delivery. The delivery mode does not have effect on the EAS amplitude 1 year after delivery. Incontinence score slightly increased in both groups after delivery, with no significant differences between the two groups. No association was observed between the increase of incontinence score and the decrease of EMG signal amplitude.

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The preferred mode of delivery of medical professionals and non-medical professional mothers-to-be and the impact of additional information on their decision: an online questionnaire cohort study

Cited by 7 publications

References 21 publications

Preferences regarding the mode of delivery in occupational groups of nurses and midwives

Preferences regarding the mode of delivery in occupational groups of nurses and midwives

Aspects of Pelvic Floor Protection in Spontaneous Delivery – a Review

Sphincter muscle activity before and after delivery: Does it depend on the type of birth?

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