Repeat cesarean section and primary elective cesarean section: Recently trained obstetrician-gynecologist practice patterns and opinions - 18/08/11
, Cynthia Brincat, MD, PhD a, Martina Mutone, MD b, Linda Brubaker, MD, MS a
Reprint requests: Kimberly Kenton, MD, Department of Obstetrics and Gynecology, Loyola University Medical Center, 2160 S First Ave, Maywood, IL 60153.Abstract |
Objective |
This study was undertaken to determine opinions of obstetrician-gynecologists regarding vaginal birth after cesarean (VBAC) section and elective cesarean section.
Study design |
A questionnaire was administered to obstetrician-gynecologists attending 2 review courses.
Results |
Of 500 obstetrician-gynecologists, 304 completed the survey for a response rate of 61%. Most (92%) counseled VBAC candidates differently, and 84% quoted differential VBAC completion rates on the basis of the indication for prior cesarean section. Uterine rupture was virtually always discussed (99%). Pelvic floor risks were infrequently discussed with urinary incontinence, pelvic organ prolapse, and fecal incontinence discussed by less than one third of obstetricians (30%, 28%, and 25%, respectively). Fifty-nine percent of physicians would perform a primary elective cesarean section, and 67% would perform a primary elective cesarean section specifically to prevent pelvic floor disorders.
Conclusion |
Two thirds of recent graduates are willing to perform an elective cesarean section to prevent pelvic floor injury. Most offer VBAC; however, less than a third include risk of pelvic floor injury in their informed consent discussions.
Le texte complet de cet article est disponible en PDF.Key words : Vaginal birth, Cesarean section, Pelvic floor, Incontinence, Vaginal birth after cesarean section
Plan
| Presented at the 71st Annual Meeting of the Central Association of Obstetricians and Gynecologists, October 13-16, 2004, Washington, DC. |
Vol 192 - N° 6
P. 1872-1875 - juin 2005 Retour au numéro
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