Knowing the midwife before delivery reduces the prevalence of caesarean section on demand in
a group of second time mothers with a complicated first delivery
Engelsk titel: Knowing the midwife before delivery reduces the prevalence of caesarean section on demand in
a group of second time mothers with a complicated first delivery
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Författare:
Gaudernack, Lise C
;
Egeland, Thore
;
Voldner, Nanna
Email: lisgau@ous-hf.no
Språk: Eng
Antal referenser: 30
Dokumenttyp:
Artikel
UI-nummer: 16033519
Sammanfattning
Caesarean section (CS) on maternal request is increasing. There is a need to understand why,
and find measures to help women give birth vaginally. The purpose of this study was to compare the
rate of complications in the first birth of 129?second time mothers wanting caesarean section with the
rate of complications in the general population; to determine how many changed their mind and
wanted to give birth vaginally when given the opportunity to know their midwife in advance; and to
examine whether there were any differences in the prevalence of health problems and labour
complications between the known midwife group and those maintaining their wish for a CS. A
quantitative study based on data from The Medical Birth Registry and from medical records was
carried out. The findings show that 129 women had experienced significantly more complications
than the general population during their first birth. Among the 48 women joining the ‘known midwife
group’, 81% gave birth vaginally. The 81 women maintaining a demand for CS significantly more
often had a health problem and fear of childbirth before their second pregnancy and were delivered
by elective CS in their first pregnancy. Our conclusion is that interventions such as the ‘known
midwife project’ help some women with a wish for a CS to give birth vaginally.