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Defensive caesarean section: A reality and a recommended health care improvement for Romanian obstetrics

RATIONALE: 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. AIMS AND OBJECTIVE: This paper reports a prospective, observational, multicente...

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Autores principales: Ionescu, Cringu Antoniu, Dimitriu, Mihai, Poenaru, Elena, Bănacu, Mihai, Furău, Gheorghe Otto, Navolan, Dan, Ples, Liana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586009/
https://www.ncbi.nlm.nih.gov/pubmed/30178624
http://dx.doi.org/10.1111/jep.13025
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author Ionescu, Cringu Antoniu
Dimitriu, Mihai
Poenaru, Elena
Bănacu, Mihai
Furău, Gheorghe Otto
Navolan, Dan
Ples, Liana
author_facet Ionescu, Cringu Antoniu
Dimitriu, Mihai
Poenaru, Elena
Bănacu, Mihai
Furău, Gheorghe Otto
Navolan, Dan
Ples, Liana
author_sort Ionescu, Cringu Antoniu
collection PubMed
description RATIONALE: 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. AIMS AND OBJECTIVE: 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. METHODS: 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. RESULTS: 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). CONCLUSIONS: The results of our study indicate that defensive caesarean section is a widespread practice among obstetrics practitioners in Romania.
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spelling pubmed-65860092019-06-27 Defensive caesarean section: A reality and a recommended health care improvement for Romanian obstetrics Ionescu, Cringu Antoniu Dimitriu, Mihai Poenaru, Elena Bănacu, Mihai Furău, Gheorghe Otto Navolan, Dan Ples, Liana J Eval Clin Pract Original Papers RATIONALE: 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. AIMS AND OBJECTIVE: 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. METHODS: 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. RESULTS: 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). CONCLUSIONS: The results of our study indicate that defensive caesarean section is a widespread practice among obstetrics practitioners in Romania. John Wiley and Sons Inc. 2018-09-04 2019-02 /pmc/articles/PMC6586009/ /pubmed/30178624 http://dx.doi.org/10.1111/jep.13025 Text en © 2018 The Authors Journal of Evaluation in Clinical Practice Published by John Wiley & Sons Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Papers
Ionescu, Cringu Antoniu
Dimitriu, Mihai
Poenaru, Elena
Bănacu, Mihai
Furău, Gheorghe Otto
Navolan, Dan
Ples, Liana
Defensive caesarean section: A reality and a recommended health care improvement for Romanian obstetrics
title Defensive caesarean section: A reality and a recommended health care improvement for Romanian obstetrics
title_full Defensive caesarean section: A reality and a recommended health care improvement for Romanian obstetrics
title_fullStr Defensive caesarean section: A reality and a recommended health care improvement for Romanian obstetrics
title_full_unstemmed Defensive caesarean section: A reality and a recommended health care improvement for Romanian obstetrics
title_short Defensive caesarean section: A reality and a recommended health care improvement for Romanian obstetrics
title_sort defensive caesarean section: a reality and a recommended health care improvement for romanian obstetrics
topic Original Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586009/
https://www.ncbi.nlm.nih.gov/pubmed/30178624
http://dx.doi.org/10.1111/jep.13025
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