Involvement of first-time mothers with different levels of education in the decision-making for their delivery by a planned Caesarean section. Women’s satisfaction with information given by gynaecologists and midwives
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We investigated the involvement of first-time mothers, who had a planned Caesarean section, in the decision to have a Caesarean section, taking into account their different educational levels.
Subjects and methods
A self-assessment questionnaire was sent in July 2005 to women who had undergone a Caesarean section in 2004. Participants were 2,685 members of a statutory health insurance fund who had given birth by Caesarean section (response rate: 48.0%). Included were primiparae with planned Caesarean section (n = 352).
The women in this cross-sectional study felt well informed about the procedure of a section but not its consequences. They used several sources of information and were most satisfied with the information provided by doctors and midwives. Of the women in this study 20% did not have a midwife. No major differences were observed between different educational levels.
Although most women were satisfied with their decision, they felt that they did not receive enough information about the consequences of a Caesarean section. This information need could be met by a further involvement of midwives in maternity care.
KeywordsCaesarean section Shared decision-making Information needs Birth
The study was funded by the Gmünder Ersatzkasse, a German health insurance fund.
Conflict of interest
The authors confirm that there are no relevant associations that might pose a conflict of interest.
- American College of Obstetricians and Gynecologists (2004) Ethics in obstetrics and gynecology, 2nd edn. American College of Obstetricians and Gynecologists, Washington DCGoogle Scholar
- BQS Bundesgeschäftsstelle Qualitätssicherung (2008) BQS Auswertung 2007 Geburtshilfe. http://www.bqs-outcome.de/2007/ergebnisse/leistungsbereiche/geburtshilfe/buaw. Accessed 22 Jul 2008
- Enkin M, Keirse MJNC, Neilson J et al (2000) A guide to effective care in pregnancy and childbirth, 3rd edn. Oxford University Press, OxfordGoogle Scholar
- Glaeske G, Janhsen K (2008) Der GEK-Arzneimittelreport 2008. Asgard, St. AugustinGoogle Scholar
- Horey D, Weaver J, Russel H (2004) Information for pregnant women about cesarean birth. Cochrane Database Syst Rev 2004, Issue 1. Art. No. CD003858. doi: 10.1002/14651858.CD003858.pub2
- Liu S, Liston RM, Joseph KS, Heaman M, Sauve R, Kramer MS, Maternal Health Study Group of the Canadian Perinatal Surveillance System (2007) Maternal mortality and severe morbidity associated with low-risk planned cesarean delivery versus planned vaginal delivery at term. CMAJ 176:455–460PubMedGoogle Scholar
- Lutz U, Kolip P (2006) Die GEK-Kaiserschnittstudie. Schriftenreihe zur Gesundheitsanalyse, Band 42. Asgard, St. AugustinGoogle Scholar
- NICE - National Institute for Clinical Excellence 2004 Caesarean section. Clinical Guideline 13. http://www.nice.org.uk/page.aspx?o=113192. Accessed 20 Jul 2008
- Niedersächsische Perinatalstatistik, Geburtskohorte 2004. Available at: http://www.zq-aekn.de
- OECD Health Data 2006. http://www.gbe-bund.de/ -> Kaiserschnitt. Accessed 27 Jul 2008