Artículo
Women's preference for caesarean section: A systematic review and meta-analysis of observational studies
Mazzoni, A.; Althabe, Fernando
; Liu, N. H.; Bonotti, A. M.; Gibbons, L.; Sánchez, A. J.; Belizán, J. M.
![Icon](/themes/CONICETDigital/images/conicet.png)
Fecha de publicación:
03/2011
Editorial:
Wiley Blackwell Publishing, Inc
Revista:
BJOG - An International Journal of Obstetrics and Gynaecology
ISSN:
1470-0328
Idioma:
Inglés
Tipo de recurso:
Artículo publicado
Clasificación temática:
Resumen
Background The striking increase in caesarean section rates in middle- and high-income countries has been partly attributed to maternal request. We conducted a systematic review and meta-analysis of women's preferences for caesarean section. Objectives To review the published literature on women's preferences for caesarean section. Search strategy A systematic search of MEDLINE, EMBASE, LILACS and PsychINFO was performed. References of all included articles were examined. Selection criteria We included studies that quantitatively evaluated women's preferences for caesarean section in any country. We excluded articles assessing health providers' preferences and qualitative studies. Data collection and analysis Two reviewers independently screened abstracts of all identified citations, selected potentially eligible studies, and assessed their full-text versions. We conducted a meta-analysis of proportions, and a meta-regression analysis to determine variables significantly associated with caesarean section preference. Main results Thirty-eight studies were included (n = 19 403). The overall pooled preference for caesarean section was 15.6% (95% CI 12.5-18.9). Higher preference for caesarean section was reported in women with a previous caesarean section versus women without a previous caesarean section (29.4%; 95% CI 24.4-34.8 versus 10.1%; 95% CI 7.5-13.1), and those living in a middle-income country versus a high-income country (22.1%; 95% CI 17.6-26.9 versus 11.8%; 95% CI 8.9-15.1). Authors' conclusions Only a minority of women in a wide variety of countries expressed a preference for caesarean delivery. Further research is needed to better estimate the contribution of women's demand to the rising caesarean section rates.
Palabras clave:
CAESAREAN SECTION
,
CHILDBIRTH
,
CHOICE
,
DELIVERY
,
OBSTETRIC
,
PREFER
,
REQUEST
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Articulos(SEDE CENTRAL)
Articulos de SEDE CENTRAL
Articulos de SEDE CENTRAL
Citación
Mazzoni, A.; Althabe, Fernando; Liu, N. H.; Bonotti, A. M.; Gibbons, L.; et al.; Women's preference for caesarean section: A systematic review and meta-analysis of observational studies; Wiley Blackwell Publishing, Inc; BJOG - An International Journal of Obstetrics and Gynaecology; 118; 4; 3-2011; 391-399
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