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The influence of individual provider characteristics and attitudes on caesarean section decision-making: a global review

Mulchandani, R; Power, HS; Cavallaro, FL; (2020) The influence of individual provider characteristics and attitudes on caesarean section decision-making: a global review. Journal of Obstetrics and Gynaecology , 40 (1) pp. 1-9. 10.1080/01443615.2019.1587603. Green open access

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Abstract

Caesarean section (CS) rates have risen worldwide in the past two decades, particularly in middle and high-income countries. In addition to changing maternal and health system factors, there is growing evidence that provider factors may contribute to rising unnecessary caesareans. The aim of this review was to assess the evidence for the association between individual provider characteristics, attitudes towards CS and decision-making for CS. A search was conducted in May 2018 in PubMed and Web of Science with 23 papers included in our final review. Our results show that higher anxiety scores and more favourable opinions of CS were associated with increased likelihood of performing CS. These findings highlight a need for appropriate interventions to target provider attitudes towards CS to reduce unnecessary procedures.

Type: Article
Title: The influence of individual provider characteristics and attitudes on caesarean section decision-making: a global review
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/01443615.2019.1587603
Publisher version: https://doi.org/10.1080/01443615.2019.1587603
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Caesarean delivery, provider, obstetrician, midwife, attitudes
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Population, Policy and Practice Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10086856
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