| Title |
Women’s preferences and mode of delivery in public and private hospitals: a prospective cohort study
|
|---|---|
| Published in |
BMC Pregnancy and Childbirth, February 2016
|
| DOI | 10.1186/s12884-016-0824-0 |
| Pubmed ID | |
| Authors |
Agustina Mazzoni, Fernando Althabe, Laura Gutierrez, Luz Gibbons, Nancy H. Liu, Ana María Bonotti, Gustavo H. Izbizky, Marta Ferrary, Nora Viergue, Silvia I. Vigil, Gabriela Zalazar Denett, José M. Belizán |
| Abstract |
Rates of caesarean section have steadily increased in most middle- and high-income countries over the last few decades without medical justification. Maternal request is one of the frequently cited non-medical factors contributing to this trend. The objectives of this study were to assess pregnant women's preferences regarding mode of delivery and to compare actual caesarean section rates in the public and private sectors. A prospective cohort study was conducted in two public and three private hospitals in Buenos Aires, Argentina. 382 nulliparous pregnant women (183 from the private sector and 199 from the public sector) aged 18 to 35 years, with single pregnancies over 32 weeks of gestational age were enrolled during antenatal care visits between October 2010 and September 2011. We excluded women with pregnancies resulting from assisted fertility, women with known pre-existing major diseases or, with pregnancy complications, or with a medical indication of elective cesarean section. We used two different approaches to assess women's preferences: a survey using a tailored questionnaire, and a discrete choice experiment. Only 8 and 6 % of the healthy nulliparous women in the public and private sectors, respectively, expressed a preference for caesarean section. Fear of pain and safety were the most frequently expressed reasons for preferring caesarean section. When reasons for delivery mode were assessed by a discrete choice experiment, women placed the most emphasis on sex after childbirth. Of women who expressed their preference for vaginal delivery, 34 and 40 % ended their pregnancies by caesarean section in public and private hospitals, respectively. The preference for caesarean section is low among healthy nulliparous women in Buenos Aires. The reasons why these women had a rate of more than 35 % caesarean sections are unlikely related to their preferences for mode of delivery. |
X Demographics
The data shown below were collected from the profiles of 7 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Canada | 3 | 43% |
| United Kingdom | 1 | 14% |
| Unknown | 3 | 43% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 4 | 57% |
| Scientists | 2 | 29% |
| Practitioners (doctors, other healthcare professionals) | 1 | 14% |
Mendeley readers
The data shown below were compiled from readership statistics for 191 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 191 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 32 | 17% |
| Student > Bachelor | 26 | 14% |
| Student > Ph. D. Student | 24 | 13% |
| Researcher | 16 | 8% |
| Student > Doctoral Student | 13 | 7% |
| Other | 33 | 17% |
| Unknown | 47 | 25% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 53 | 28% |
| Nursing and Health Professions | 36 | 19% |
| Social Sciences | 10 | 5% |
| Psychology | 6 | 3% |
| Business, Management and Accounting | 5 | 3% |
| Other | 20 | 10% |
| Unknown | 61 | 32% |
Attention Score in Context
This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 22 February 2016.
All research outputs
#7,431,030
of 23,573,357 outputs
Outputs from BMC Pregnancy and Childbirth
#2,052
of 4,333 outputs
Outputs of similar age
#121,946
of 402,267 outputs
Outputs of similar age from BMC Pregnancy and Childbirth
#30
of 58 outputs
Altmetric has tracked 23,573,357 research outputs across all sources so far. This one has received more attention than most of these and is in the 68th percentile.
So far Altmetric has tracked 4,333 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.0. This one has gotten more attention than average, scoring higher than 52% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 402,267 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 69% of its contemporaries.
We're also able to compare this research output to 58 others from the same source and published within six weeks on either side of this one. This one is in the 48th percentile – i.e., 48% of its contemporaries scored the same or lower than it.