Abstract
To compare Swedish obstetricians/gynecologists and midwives’ attitudes and opinions on different aspects of cesarean section (CS). In total 330 midwives from the south east of Sweden and 1280 Swedish obstetricians/gynecologists were asked to answer a study-specific questionnaire anonymously about their opinions on different issues concerning CS. The majority of obstetricians/gynecologists and midwives had more than 10 years of experience in their professions (75.2% vs. 73.6%). The midwives thought that a reasonable CS rate would be 11.5% whereas the corresponding figures for the obstetricians/gynecologists was 13.8% (P < 0.001). There are differences in opinions and attitudes concerning both CS rates and other aspects in connection with CS. There are evident differences in attitudes towards CS and mode of delivery between midwives and obstetricians/gynecologists. These need to be explored and discussed in relation to state-of-the-art knowledge and should become a part of the curriculum for both groups of professionals both in training as well as on a regular clinical basis.
Similar content being viewed by others
References
Habiba, M., Kaminski, M., Da Fré, M., Marsal, K., Bleker, O., Libero, J., et al. (2006). Caesarean section on request: A comparison of obstetricians attitudes in eight European countries. British Journal of Obstetrics and Gynaecology, 113, 647–656.
Cotzias, C. S., Paterson-Brown, S., & Fisk, N. M. (2001). Obstetricians say yes to maternal request for elective caesarean section: A survey of current opinion. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 97, 15–16.
Hildingsson, I., Radestad, I., Rubertsson, C., & Waldenstrom, U. (2002). Few women wish to be delivered by caesarean section. British Journal of Obstetrics and Gynaecology, 109, 618–623.
Högberg, U., Lynö, N., & Wulff, M. (2008). Cesarean by Choice? Empirical study of public attitudes. Acta Obstetricia et Gynecologica Scandinavica, 87, 1301–1308.
Reime, B., et al. (2004). Do maternity care provider groups have different attitudes towards birth? British Journal of Obstetrics and Gynaecology, 111, 1388–1393.
Monari, F., Di Mario, S., Facchinetti, F., & Basevi, V. (2008). Obstetricians’ and midwives’ attitudes towards caesarean section. Birth, 35, 129–135.
Gunnervik, C., Sydsjö, G., Sydsjö, A., Selling, K. E., & Josefsson, A. (2008). Attitudes towards caesarean section in a nationwide sample of obstetricians and gynecologists. Acta Obstetricia et Gynecologica Scandinavica, 87, 438–444.
Gunnervik, C., Josefsson, A., Sydsjö, A., & Sydsjö, G. (2008) Attitudes towards mode of birth among Swedish midwives. Midwifery. Jul 14 2008.
Fuglenes, D., Oian, P., & Kristiansen, I. S. (2009). Obstetricians’ choice of caesarean delivery in ambiguous cases: Is it influenced by risk attitude or fear of complaints and litigation? Am J Obstet Gyncol., 200, 48.
Pakenham, S., Chamberlain, S. M., & Smith, G. N. (2006). Women’s view on elective primary caesarean section. Journal of Obstetrics and Gynaecology Canada, 28, 1089–1094.
Emmett, C. L., Shaw, A. R., Montgomery, A. A., & Murphy, D. J. (2006). Diamond Study group. Women’s experience of decision making about mode of delivery after a previous caesarean section: The role of health professionals and information about health risks. British Journal of Obstetrics and Gynaecology, 113, 1438–1445.
Acknowledgments
This investigation was supported by grants from The Medical Research Council of Southeast Sweden and Futurum—the Academy of Health care, Jonkoping County Council. We thank statistician, MA, Marie Bladh for excellent statistical advice.
Disclosure of interest
None of the authors have any conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Josefsson, A., Gunnervik, C., Sydsjö, A. et al. A Comparison Between Swedish Midwives and Obstetricians & Gynecologists Opinions on Cesarean Section. Matern Child Health J 15, 555–560 (2011). https://doi.org/10.1007/s10995-010-0630-7
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10995-010-0630-7