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A survey of trainee obstetricians preferences for childbirth.

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  • 1The Department of Obstetrics and Gynaecology, Maternity Unit, Friarage Hospital, Northallerton, Bradford Royal Infirmary, Duckworth Lane, Bradford, West Yorkshire, UK. janetwright@tinyonline.co.uk

Abstract

OBJECTIVE:

To determine trainee obstetricians personal preferences regarding mode and place of delivery given various scenarios.

STUDY DESIGN:

An anonymous nationwide postal survey of 365 specialist registrars.

RESULTS:

The response rate was 76%. About 2.5% preferred a home birth. And 16% of men and 15% of women opted for elective cesarean section (CS). When faced with a proposed trial of instrumental delivery in theatre, 60% accepted and a further 12% accepted only if they could choose the obstetrician performing the delivery. Regarding a breech presentation at term, 78% would accept external cephalic version (ECV).

CONCLUSIONS:

The percentage of obstetricians who preferred vaginal delivery and ECV were considerably higher than previously reported, and there were no significant gender differences. This study shows a more balanced attitude from obstetricians and refutes the previously held view that they necessarily advocate high levels of intervention for themselves.

PMID:
11435003
[PubMed - indexed for MEDLINE]
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