Friday, September 3rd, 2010

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Title:
Current Practice of Cesarean Delivery on Maternal Request Following the 2006 State-of-the-Science Conference
Authors:  Victoria H. Coleman-Cowger, Ph.D., Kristine Erickson, Ph.D.,  Catherine Y. Spong, M.D., Barry Portnoy, Ph.D., Jennifer Croswell, M.D., and  Jay Schulkin, Ph.D.
  OBJECTIVE: To determine obstetrician-gynecologists’ practice patterns of cesarean delivery on maternal request (CDMR) following the 2006 National Institutes of Health (NIH) State-of-the-Science conference on this topic, and compare them with those in their practice prior to the conference.
STUDY DESIGN: Questionnaires were mailed to 612 American College of Obstetricians and Gynecologists fellows who participated in a 2006 preconference survey, with 59% responding. The survey assessed demographic characteristics, practice, attitudes, knowledge regarding potential risks and benefits, counseling practices, and department policies with regards to CDMR.
RESULTS: The majority of obstetrician-gynecologists in our sample continues to believe that a woman has the right to CDMR, but fewer than in 2006 would agree to perform this procedure. In general, obstetrician- gynecologists associate more risks and fewer benefits with CDMR than in 2006.
CONCLUSION: Some physicians have shifted their perception of CDMR risks and benefits since the NIH State-of-the-Science conference; however, practice patterns have not changed significantly. (J Reprod Med 2010;55:25–30)
Keywords:  cesarean section, maternal request, State-of-the-Science Conference
   
   
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