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Attitudes towards mode of birth among Swedish midwives
Linköping University, Department of Clinical and Experimental Medicine, Obstetrics and gynecology . Linköping University, Faculty of Health Sciences.
Linköping University, Department of Clinical and Experimental Medicine, Obstetrics and gynecology . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
Linköping University, Department of Clinical and Experimental Medicine, Obstetrics and gynecology . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
Linköping University, Department of Clinical and Experimental Medicine, Obstetrics and gynecology . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
2010 (English)In: MIDWIFERY, ISSN 0266-6138, Vol. 26, no 1, 38-44 p.Article in journal (Refereed) Published
Abstract [en]

Objective: to investigate midwives attitudes and opinions on mode of birth. Design: exploratory descriptive study. Data were collected via study-specific questionnaires during 2006. Setting: southeastern Sweden. Participants: all midwives working in two counties. Findings: regardless of age, experience and working field, the midwives considered a reasonable caesarean rate to be around 11.5 per cent. None of the participants thought that the caesarean rate was too low. Midwives younger than 50 years tended to consider the current caesarean rate to be too high (p = 0.059). Midwives working on labour wards stated that they thought the current caesarean rate was too high compared with midwives working at antenatal care clinics (ACCs)(pandlt;0.001). Midwives working at ACCs agreed with the statements one should agree to a womans right to have an elective caesarean (pandlt;0.001) and elective caesarean is the best choice for a woman with fear of birth (p = 0.046) more often than midwives working on labour wards, regardless of age or working experience. Key conclusions and implications for practice: midwives working at ACCs are more willing to accept caesarean section at the womans request and for women with fear of birth. It is of importance that ACC caregivers and professionals on labour wards increase their collaboration and have continuous discussions with one another in an attempt to reach consensus about the appropriate caesarean rates on evidence-based grounds.

Place, publisher, year, edition, pages
2010. Vol. 26, no 1, 38-44 p.
Keyword [en]
Mode of birth, Caesarean, Maternal request, Midwives attitudes
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-54392DOI: 10.1016/j.midw.2008.04.006ISI: 000274918000006OAI: oai:DiVA.org:liu-54392DiVA: diva2:303547
Note
Original Publication: Christina Gunnervik, Ann Josefsson, Adam Sydsjö and Gunilla Sydsjö, Attitudes towards mode of birth among Swedish midwives, 2010, MIDWIFERY, (26), 1, 38-44. http://dx.doi.org/10.1016/j.midw.2008.04.006 Copyright: Elsevier Science B.V., Amsterdam http://www.elsevier.com/ Available from: 2010-03-12 Created: 2010-03-12 Last updated: 2010-03-18

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