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How do pregnant women’s perceptions of obstetric forceps change according to their demographic background: a cross sectional study
BACKGROUND: Women’s attitudes towards obstetric forceps likely contribute to declining use and opportunities for residency training, but formal documentation of women’s attitudes towards obstetric forceps is currently limited. A clearer understanding should help guide our attempts to preserve its us...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8111760/ https://www.ncbi.nlm.nih.gov/pubmed/33975552 http://dx.doi.org/10.1186/s12884-021-03854-x |
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author | Hitt, Jasmine M. Martin, Angela S. Dietrich, Jordan E. Ahmed, Natasha Lee, Gene T. |
author_facet | Hitt, Jasmine M. Martin, Angela S. Dietrich, Jordan E. Ahmed, Natasha Lee, Gene T. |
author_sort | Hitt, Jasmine M. |
collection | PubMed |
description | BACKGROUND: Women’s attitudes towards obstetric forceps likely contribute to declining use and opportunities for residency training, but formal documentation of women’s attitudes towards obstetric forceps is currently limited. A clearer understanding should help guide our attempts to preserve its use in modern obstetrics and to improve residency training. Our objective is to document women’s attitudes towards obstetric forceps and the influence basic demographic variables have on those attitudes. METHODS: A cross sectional study was performed. We developed a one-time anonymous structured 5-question survey that was given to all women with low-risk pregnancies presenting to our medical center for prenatal care between October 2018–December 2018. The questionnaire asked for the woman’s self-reported age, race, education level and insurance type. The five questions were as follows: (1) Do you think forceps should be used to deliver babies, (2) Is forceps safe for the baby, (3) Is forceps safe for the mother, (4) Do you think forceps can help to lower the cesarean section rate, (5) Do you think physicians in training should learn to place forceps on a real patient. We calculated means and proportions for the responses according to the overall group and various subgroups. Statistical analysis included Kruskall-Wallis or Mann-Whitney tests as appropriate. Results were also adjusted by regression using a Generalized Linear Model. Power calculation showed sample size of 384 was required. RESULTS: A total of 499 women returned the questionnaire. Response rate was 56.8% (499/878). The findings suggest that women’s perceptions towards forceps are generally negative. Women with white ethnicity, college education or higher and private insurance did have more favorable views than their counterparts, but the majority still had unfavorable views. Age was not shown to have a significant effect on maternal attitude. CONCLUSION: Women’s views towards forceps use in the University of Kansas Medical Center are negative and may be contributing to the decline of its use. Improving women’s perceptions of forceps would require multiple different strategies rather than a single focused easily-implemented message. If forceps training continues, such training will rely on a minority of women who will accept forceps use in childbirth. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-021-03854-x. |
format | Online Article Text |
id | pubmed-8111760 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-81117602021-05-11 How do pregnant women’s perceptions of obstetric forceps change according to their demographic background: a cross sectional study Hitt, Jasmine M. Martin, Angela S. Dietrich, Jordan E. Ahmed, Natasha Lee, Gene T. BMC Pregnancy Childbirth Research Article BACKGROUND: Women’s attitudes towards obstetric forceps likely contribute to declining use and opportunities for residency training, but formal documentation of women’s attitudes towards obstetric forceps is currently limited. A clearer understanding should help guide our attempts to preserve its use in modern obstetrics and to improve residency training. Our objective is to document women’s attitudes towards obstetric forceps and the influence basic demographic variables have on those attitudes. METHODS: A cross sectional study was performed. We developed a one-time anonymous structured 5-question survey that was given to all women with low-risk pregnancies presenting to our medical center for prenatal care between October 2018–December 2018. The questionnaire asked for the woman’s self-reported age, race, education level and insurance type. The five questions were as follows: (1) Do you think forceps should be used to deliver babies, (2) Is forceps safe for the baby, (3) Is forceps safe for the mother, (4) Do you think forceps can help to lower the cesarean section rate, (5) Do you think physicians in training should learn to place forceps on a real patient. We calculated means and proportions for the responses according to the overall group and various subgroups. Statistical analysis included Kruskall-Wallis or Mann-Whitney tests as appropriate. Results were also adjusted by regression using a Generalized Linear Model. Power calculation showed sample size of 384 was required. RESULTS: A total of 499 women returned the questionnaire. Response rate was 56.8% (499/878). The findings suggest that women’s perceptions towards forceps are generally negative. Women with white ethnicity, college education or higher and private insurance did have more favorable views than their counterparts, but the majority still had unfavorable views. Age was not shown to have a significant effect on maternal attitude. CONCLUSION: Women’s views towards forceps use in the University of Kansas Medical Center are negative and may be contributing to the decline of its use. Improving women’s perceptions of forceps would require multiple different strategies rather than a single focused easily-implemented message. If forceps training continues, such training will rely on a minority of women who will accept forceps use in childbirth. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-021-03854-x. BioMed Central 2021-05-11 /pmc/articles/PMC8111760/ /pubmed/33975552 http://dx.doi.org/10.1186/s12884-021-03854-x Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Hitt, Jasmine M. Martin, Angela S. Dietrich, Jordan E. Ahmed, Natasha Lee, Gene T. How do pregnant women’s perceptions of obstetric forceps change according to their demographic background: a cross sectional study |
title | How do pregnant women’s perceptions of obstetric forceps change according to their demographic background: a cross sectional study |
title_full | How do pregnant women’s perceptions of obstetric forceps change according to their demographic background: a cross sectional study |
title_fullStr | How do pregnant women’s perceptions of obstetric forceps change according to their demographic background: a cross sectional study |
title_full_unstemmed | How do pregnant women’s perceptions of obstetric forceps change according to their demographic background: a cross sectional study |
title_short | How do pregnant women’s perceptions of obstetric forceps change according to their demographic background: a cross sectional study |
title_sort | how do pregnant women’s perceptions of obstetric forceps change according to their demographic background: a cross sectional study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8111760/ https://www.ncbi.nlm.nih.gov/pubmed/33975552 http://dx.doi.org/10.1186/s12884-021-03854-x |
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