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Patients' attitudes vs. physicians' determination: implications for cesarean sections.

Joan C Lo1

  • 1Institute of Economics, Academia Sinica, Nankang, Taipei, Taiwan. jlo@econ.sinica.edu.tw <jlo@econ.sinica.edu.tw>

Social Science & Medicine (1982)
|May 20, 2003
PubMed
Summary

Mothers

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Area of Science:

  • Obstetrics and Gynecology
  • Sociology of Health
  • Medical Decision-Making

Background:

  • Physician-centric models often overlook maternal influence on Cesarean Section (CS) decisions.
  • Cultural beliefs regarding auspicious dates can impact significant life events.
  • The role of maternal preference in CS timing remains under-researched.

Purpose of the Study:

  • To investigate the influence of auspicious and inauspicious dates on Cesarean Section rates.
  • To explore the impact of cultural beliefs on obstetric delivery method choices.
  • To determine if mothers' preferences for specific birth dates affect Cesarean Section probability.

Main Methods:

  • Utilized logistic regression modeling.
  • Analyzed 1998 birth certificate data from Taiwan.
  • Compared Cesarean Section rates on auspicious versus inauspicious days.

Main Results:

  • Cesarean Section probability was significantly higher on auspicious days.
  • Cesarean Section probability was significantly lower on inauspicious days.
  • The hypothesis regarding date selection influencing Cesarean Section rates was supported.

Conclusions:

  • Maternal preference for auspicious dates significantly influences Cesarean Section timing.
  • Cultural beliefs play a demonstrable role in obstetric delivery decisions.
  • Future research should consider maternal cultural factors in Cesarean Section studies.

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