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A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique

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Elective caesarean section as a transformative technological process: players, power and context.

Nancy Hewer¹, Geertje Boschma, Wendy A Hall

¹Perinatal Specialty Nursing, British Columbia Institute of Technology, Burnaby, Canada. nancy_hewer@bcit.ca

Journal of Advanced Nursing

|June 5, 2009

Summary

Elective caesarean sections are increasingly common, shifting from emergency procedures to choices. Analyzing this trend reveals societal influences and power dynamics in maternal healthcare decisions.

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Area of Science:

Medical Sociology
Health Technology Assessment
Reproductive Health

Background:

Global rise in caesarean section rates in industrialized nations.
Contributing factors include maternal characteristics, provider attitudes, and perceived benefits like preventing pelvic floor disorders.

Purpose of the Study:

Critically analyze the debate on elective caesarean section.
Utilize the Social Construction of Technology (SCT) perspective as an analytical framework.

Main Methods:

Comprehensive literature search of CINAHL, PubMed, Ovid, Academic Search Premier, and Cochrane databases.
Searched for publications between 2000 and 2007.
Used keywords: "elective caesarean section," "caesarean section on demand," and "maternal choice caesarean section."

Main Results:

The SCT perspective illuminates how caesarean section evolved from an emergency intervention to an elective procedure.
Analysis reveals the perspectives of obstetricians, midwives, perinatal nurses, and women, highlighting power dynamics and contextual factors.

Conclusions:

The SCT approach enables perinatal nurses to understand elective caesarean section within a wider social context.
This perspective emphasizes fetal safety and risk, potentially overlooking maternal and infant postnatal health.
The SCT framework demonstrates how problem definition influences solution control in healthcare.