• J Obstet Gynecol Neonatal Nurs · Nov 2012

    Multicenter Study

    Practice of primary elective cesarean upon maternal request in the commonwealth of virginia.

    • Bunan Alnaif and Hind Beydoun.
    • Department of Obstetrics & Gynecology, Eastern Virginia Medical School, Norfolk, VA 23501-1980, USA. baydouha@evms.edu
    • J Obstet Gynecol Neonatal Nurs. 2012 Nov 1;41(6):738-46.

    ObjectivesTo evaluate the practice of on-demand elective cesarean delivery in Virginia.DesignCross-sectional.SettingHospital based.ParticipantsNurse managers or labor and delivery charge nurses of all 55 hospitals in Virginia that provide obstetric services.MethodsInterviews were conducted with participants to obtain quantitative and qualitative data.Results71.7% of hospitals reported that they would allow and have performed on-demand cesarean delivery. The prevalence of this practice did not vary substantially according to hospital size and type or characteristics of providers of obstetric care. The only criterion that all hospitals mandated before allowing on-demand cesarean delivery was that pregnancy must have completed 39 weeks of gestation.ConclusionsThe perception of labor and delivery managers in Virginia is that on-demand elective cesarean delivery is a patient-driven practice that does not appear to be influenced by hospital characteristics.© 2012 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.

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