Defensive caesarean section: A reality and a recommended health care improvement for Romanian obstetrics.
Adult
Attitude of Health Personnel
Cesarean Section
/ legislation & jurisprudence
Elective Surgical Procedures
Female
Humans
Malpractice
/ legislation & jurisprudence
Obstetrics
/ methods
Patient Preference
/ statistics & numerical data
Patient Selection
Physicians
/ standards
Pregnancy
Qualitative Research
Referral and Consultation
Risk Management
/ methods
Romania
caesarean delivery on maternal request
defensive caesarean section
defensive medicine
malpractice
Journal
Journal of evaluation in clinical practice
ISSN: 1365-2753
Titre abrégé: J Eval Clin Pract
Pays: England
ID NLM: 9609066
Informations de publication
Date de publication:
Feb 2019
Feb 2019
Historique:
received:
20
05
2018
revised:
29
07
2018
accepted:
30
07
2018
pubmed:
5
9
2018
medline:
27
4
2019
entrez:
5
9
2018
Statut:
ppublish
Résumé
Defensive caesarean section (CS) has become one of the most common medical procedure worldwide. Additionally, performing CS in accordance with the patient's choice is an appropriate professional practice. This paper reports a prospective, observational, multicenter study to quantify the use of this type of practice that is performed by obstetricians to avoid medico-legal complaints and decrease the frequency of malpractice litigations. We interviewed 73 obstetricians from three distinct units of obstetrics and gynaecology, to assess their opinion regarding defensive caesarean delivery and caesarean delivery performed upon maternal request. We conducted an opinion-based survey using questionnaires based on nine, close-ended questions. Out of 73 respondents, 51 (69.9%) stated that they perform defensive CS; 63 (86.3%) declared that their choice of birth delivery is influenced by the risk of being accused of malpractice; 60 (82.2%) indicated that it is normal for the patient to be able to decide on the type of delivery; and 63 (86.3%) declared that they consult their patients regarding their delivery preferences. We found statistically significant differences between the respondents who declare that they perform defensive CS (69.9%) and those who said that they are influenced by the risk of malpractice when they choose the method of delivery for their patients (86.3%) (P < .001; McNemar Test). The results of our study indicate that defensive caesarean section is a widespread practice among obstetrics practitioners in Romania.
Identifiants
pubmed: 30178624
doi: 10.1111/jep.13025
pmc: PMC6586009
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
111-116Informations de copyright
© 2018 The Authors Journal of Evaluation in Clinical Practice Published by John Wiley & Sons Ltd.
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