BJOG : an international journal of obstetrics and gynaecology
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Multicenter Study Comparative Study
Caesarean section on request: a comparison of obstetricians' attitudes in eight European countries.
To explore the attitudes of obstetricians to perform a caesarean section on maternal request in the absence of medical indication. ⋯ The differences in obstetricians' attitudes are not founded on concrete medical evidence. Cultural factors, legal liability and variables linked to the specific perinatal care organisation of the various countries play a role. Greater emphasis should be placed on understanding the motivation, values and fears underlying a woman's request for elective caesarean delivery.
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To determine how pre-eclampsia modifies maternal haemodynamics during caesarean delivery. ⋯ In women with pre-eclampsia, inability to increase SI at the moment of delivery may suggest dysfunction of the left ventricle to adapt to volume load caused by delivery and prompts concern for the increased risk of pulmonary oedema.
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Multicenter Study
Antenatal fear of childbirth and its association with subsequent caesarean section and experience of childbirth.
To investigate the prevalence of fear of childbirth in a nationwide sample and its association with subsequent rates of caesarean section and overall experience of childbirth. ⋯ At least 10% of pregnant women in Sweden suffer from fear of childbirth. Fear of childbirth in combination with counselling may increase the rate of elective caesarean sections, whereas fear without treatment may have a negative impact on the subsequent experience of childbirth.