Opinions and attitudes of parturients, midwives , and obstetricians about Caesarean section in the provinces of Podkarpackie, Poland, and Ivano-Frankivsk, Ukraine

Joanna Skręt- Magierło 1, Edyta Barnaś 2, Januszek Sławomir 3, Teresa Zmysło 4, Andrzej Skręt 5, Elżbieta Kraśnianin 5, Nataliya Henryk 5, Oksana Makarchuk 5, Iryna Basiuga 6, Omelyan Kwartsyany 6
1 - Institute of Obstetrics and Emergency Medicine, University of Rzeszow, Poland; Clinical Department of Obstetrics and Gynecology, Rzeszow State Hospital, Rzeszow, Poland
2 - The Psychoterapy& Counseling Center, Warrington, UK
3 - Clinical Department of Obstetrics and Gynecology, Rzeszow State Hospital, Rzeszow, Poland
4 - Institute of Obstetrics and Emergency Medicine, University of Rzeszow, Poland
5 - Chair of Obstetrics and Gynecology, Medical University of Iwano- Frankowsk, Ukraine
6 - Chair of Obstetrics and Gynecology, Medical University of Iwano-Frankowsk, Ukraine
Ann Agric Environ Med
2016; 23 (1):
ICID: 1196873
Article type: Original article
Introduction and objective. Present the opinions of parturients, midwives, and obstetricians concerning CS in the provinces of Podkarpackie (Poland) and Ivano-Frankivsk (Ukraine).
Material and methods. An anonymous questionnaire for parturients (n=1,295), midwives (n=47) and obstetricians (n=78), assessing demographics, knowledge and attitudes concerning CS, was distributed in 13 hospitals. In addition to measured anxiety among parturients, we also used the State-Trait Anxiety Inventory (STAI).
Results. Differences between the subgroups concerned respondents’ ages and place of residence (p=0.0000). Parturients from Poland more often accepted the possibility of vaginal delivery after previous CS (p=0.0000), they more often believed that free access to epidural analgesia and the presence of a chosen partner in the delivery room would decrease the CS rate (p=0.0000). Polish midwives more rarely accept the idea of CS on maternal request (p=0.0012) and were convinced that free access to epidural analgesia could decrease the rate of CS (p=0.0479). In Poland parturients more often accepted CS on maternal request than obstetricians and midwives (p=0.0000). In Ukrainian population midwives and obstetricians more often accepted possibility of natural delivery after previous CS (p=0.0010). According connected with delivery in Poland parturients returned lower scores on the A-State scale (p=0.0000), but higher scores on the A-Trait scale (p=0.0067).
Conclusions. There are some differences in Polish and Ukrainian obstetricians, midwives and parturients in respect of: – vaginal delivery after CS, – epidural analgesia, – CS on request, – anxiety connected with labour. The above may to some extend explain the difference in Cs rate in two countries.
DOI: 10.5604/12321966.1196873
PMID 27007536 - click here to show this article in PubMed

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