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Published on: June 6, 2020
Obstetricians' and midwives' attitudes toward cesarean section
Francesca Monari1, Simona Di Mario, Fabio Facchinetti
1Department of Obstetrics and Gynecology, University Hospital, Modena, Italy.
Birth (Berkeley, Calif.)
|May 30, 2008
Summary
Midwives and obstetricians have different views on cesarean section rates and benefits. Professional role, not gender, influenced these attitudes, offering insights for improving maternal care.
Area of Science:
- Obstetrics and Gynecology
- Healthcare Professional Attitudes
- Maternal Health Services
Background:
- Global cesarean section rates exceed 35% in Italy.
- Understanding healthcare practitioner attitudes is crucial for managing cesarean rates.
- Investigating midwife and obstetrician views on cesarean section is needed.
Purpose of the Study:
- To explore attitudes toward cesarean section among midwives and obstetricians.
- To identify potential facilitators and barriers to cesarean section rate changes.
Main Methods:
- Face-to-face structured interviews conducted in Modena, Italy.
- Utilized an adapted Survey of Clinicians' Views on Caesarean Section questionnaire.
- Included 248 midwives and obstetricians (94.6% response rate).
Main Results:
- Significant differences in attitudes between midwives and obstetricians regarding cesarean section rates.
- Midwives were more likely to view cesarean rates as too high (65% vs 34%).
- Midwives showed less belief in maternal benefits and indication from prior cesarean delivery.
Conclusions:
- Professional role, not gender, was the primary determinant of cesarean section attitudes.
- Findings can inform policy interventions for enhanced maternal and childbearing women's care.
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