What do obstetricians think about media influences on their patients?

Handfield, Bronny; Turnbull, Sue; Bell, Robin Jean

doi:10.1111/j.1479-828x.2006.00621.x

Cited by 31 publications

(27 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For further analyses, we grouped the overall DISCERN scores into five categories: very poor (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26), poor (27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38), moderate (39-50), good (51-62), and excellent (63-75). 32 Completeness was assessed by calculating the proportion of key elements, defined a priori, covered by each website.…”

Section: Scoring Of Quality and Completeness Of Information Presentedmentioning

confidence: 99%

“…19,20 Contemporary women are exposed to, and frequently obtain or seek, health information in the media, including television, magazines, and also on the Internet. 21,22 This exposure can influence their decision on route of delivery, and potentially contributes to the rise of caesarean deliveries. 8,23 The Internet is expanding rapidly in developing countries.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Googling caesarean section: a survey on the quality of the information available on the Internet

Fioretti

Reiter

Betrán

et al. 2014

BJOG: Int J Obstet Gy

View full text Add to dashboard Cite

Objective To examine the quality and completeness of information on caesarean section in web pages used by laypersons in Brazil, a country with very high rates of caesarean delivery.Design Cross-sectional study.Setting Brazil.Sample A total of 176 Internet websites.Methods The term 'caesarean delivery' and 25 synonyms were entered into the most popular search engines in Brazil. The first three pages of hits were downloaded and assessed by two independent investigators using the DISCERN instrument and a content checklist.Main outcome measures Quality and completeness of information on caesarean section.Results A total of 3900 web pages were retrieved and 176 fulfilled the selection criteria. The overall average DISCERN score was 43.6 (AE8.9 SD), of a maximum score of 75; 30% of the pages were of poor or very poor quality and 47% were of moderate quality. Most pages scored low, especially in questions related to reliability of the information. The most frequently covered topics were: indications for caesarean section (80% of websites), which did not reflect clinical practice; short-term maternal risks (80%); and potential benefits of caesarean section (56%), including maternal and doctor convenience. Less than half of the websites mentioned perinatal risks and less than one-third mentioned long-term maternal risks associated with caesarean section, such as uterine rupture (17%) or placenta praevia/accreta (12%) in future pregnancies.Conclusions The quality and completeness of web-based resources in Portuguese about caesarean section were poor to moderate. Pending improvement of these resources, obstetricians should warn pregnant women about these facts and encourage them to discuss what they have read on the Internet about caesarean section.Keywords Caesarean section, doctor-patient relationships, health literacy, Internet, patient education, prenatal education.Tweetable abstract The quality and completeness of information about caesareans is poor in 176 websites used by Brazilians.Keywords Caesarean section, doctor-patient relationships, health literacy, Internet, patient education, prenatal education. IntroductionIn 1985, the World Health Organization (WHO) stated that there were no justifications for caesarean section rates higher than 10-15% anywhere in the world, 1 and yet rates are steadily increasing worldwide.2 Brazil has been the world champion of delivery by caesarean section since the early 1990s, 3 and numbers continue to rise. In 2010 over 50% of all deliveries in Brazil were by caesarean section, representing a 20% increase in just 4 years. 4,5 In the private sector, caesarean section rates are over 80%. 6,7 Reasons for increasing caesarean section rates are under investigation. Several contributing factors from both the health provider and user sides have been identified, including fear of labour pain, misconceptions about vaginal delivery, previous traumatic births, social values, personal preferences, fear of litigation, economic reasons, and convenience for both patients and doctors. [8][9][10][...

show abstract

Section: Scoring Of Quality and Completeness Of Information Presentedmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Googling caesarean section: a survey on the quality of the information available on the Internet

Fioretti

Reiter

Betrán

et al. 2014

BJOG: Int J Obstet Gy

View full text Add to dashboard Cite

show abstract

“…These media reflect the dominant, or authoritative, attitude toward childbirth currently characterized by biomedical, obstetric management 20 . Stories of childbirth on television, 31,32 on the Internet, 21,33 and circulated socially between women 22,23,27 are characterized by panic, intervention, and the need for medicine to save the mother and child from a dangerous, painful physiologic process. Conversely, as these media circulate negative narratives of vaginal or natural delivery, they might in a subtle fashion communicate positive social narratives of women choosing birth by cesarean delivery 34–36 .…”

Section: Introductionmentioning

confidence: 99%

Decision Making in Patient‐Initiated Elective Cesarean Delivery: The Influence of Birth Stories

Munro

Kornelsen

Hutton

2009

J Midwife Womens Health

115

View full text Add to dashboard Cite

Patient-initiated elective cesarean delivery is emerging as an urgent issue for practitioners, hospitals, and policy makers and for pregnant women. This exploratory qualitative study looks at the birth stories and cultural knowledge that women use to inform the decision about an elective cesarean without medical indication. Data collection consisted of exploratory qualitative in-depth interviews with 17 primiparous women in British Columbia, Canada. Interviews revealed the influence of socially circulated birth stories and cultural narratives on their attitudes towards mode of delivery. Participants included in their decision making process both medical information and informal birth stories that were technologically inclined and confirmed their preference for cesarean delivery. Results indicate that women who participated in this study drew heavily from social and cultural knowledge in forming their decision to give birth by patient-initiated elective cesarean delivery. Although the numbers of women who request a cesarean delivery for social reasons is still small, the persuasive influence on parturient women of positive cesarean stories and negative vaginal stories must be considered. Care providers and childbirth educators need to become familiar with the social influences impacting women's decisions for mode of delivery so that truly informed choice discussions can be undertaken.

show abstract

“…One exception is in the area of pregnancy: three quarters of surveyed fellows in Australia and New Zealand reported that pregnancy information from websites had been brought to their attention by patients, indicating that women are accessing the internet for their health information and are speaking with their doctors about it [8]. A focus group study of pregnant women and young mothers in the USA reported that they used the Internet to confirm their health-related beliefs or reassure themselves that their perceptions were correct.…”

Section: Knowledge Translation In Obstetrics and Gynaecologymentioning

confidence: 99%

Knowledge Translation in Obstetrics and Gynaecology: A Pilot Study of Physical and Online Media

Brotto¹

2016

OGIJ

View full text Add to dashboard Cite

Background: Knowledge translation (KT) is defined as the exchange, synthesis and ethically sound application of knowledge, and is critical for translating research findings into the public's hands. In obstetrics and gynaecology, there are only a few poignant examples of strategic knowledge translation. The aim of this project was to pilot test a combination of face-to-face as well as online KT strategies for the purpose of disseminating scientific findings in obstetrics and gynaecology to a public audience. Methods:We delivered a series of face-to-face public forums, and online YouTube videos and a webinar in which experts in obstetrics and gynaecology delivered key findings in research.Results: Participants to face-to-face events were more likely to have a personal interest in the topic, that these events are an opportunity to correct health-related myths, and that the interactive nature of the forum allowed women to have their individual questions addressed. Interpretation:In terms of online KT, websites can be an effective and inexpensive way of having a broad reach, that Facebook is an effective way to interact with young, female members of the public, and that Webinars are an inexpensive means of doing KT. A number of lessons were learned that will assist in future strategic delivery of KT in the area of ob/gyn.

show abstract

What do obstetricians think about media influences on their patients?

Cited by 31 publications

References 17 publications

Googling caesarean section: a survey on the quality of the information available on the Internet

Googling caesarean section: a survey on the quality of the information available on the Internet

Decision Making in Patient‐Initiated Elective Cesarean Delivery: The Influence of Birth Stories

Knowledge Translation in Obstetrics and Gynaecology: A Pilot Study of Physical and Online Media

Contact Info

Product

Resources

About