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dc.contributor.author
Perrotta, Carla  
dc.contributor.author
Romero, Mariana  
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Sguassero, Yanina  
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Straw, Cecilia  
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Gialdini, Celina  
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Righetti, Natalia  
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Betran, Ana Pilar  
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Ramos, Silvina  
dc.date.available
2023-06-12T13:10:47Z  
dc.date.issued
2022-01  
dc.identifier.citation
Perrotta, Carla; Romero, Mariana; Sguassero, Yanina; Straw, Cecilia; Gialdini, Celina; et al.; Caesarean birth in public maternities in Argentina: A formative research study on the views of obstetricians, midwives and trainees; BMJ Publishing; BMJ Open; 12; 1; 1-2022; 1-10  
dc.identifier.issn
2044-6055  
dc.identifier.uri
http://hdl.handle.net/11336/200226  
dc.description.abstract
Objectives To explore obstetricians', midwives' and trainees' perceptions of caesarean section (CS) determinants in the context of public obstetric care services provision in Argentina. Our hypothesis is that known determinants of CS use may differ in settings with limited access to essential obstetric services. Setting We conducted a formative research study in 19 public maternity hospitals in Argentina. An institutional survey assessed the availability of essential obstetric services. Subsequently, we conducted online surveys and semistructured interviews to assess the opinions of providers on known CS determinants. Results Obstetric services showed an adequate provision of emergency obstetric care but limited services to support women during birth. Midwives, with some exceptions, are not involved during labour. We received 680 surveys from obstetricians, residents and midwives (response rate of 63%) and interviewed 26 key informants. Six out of 10 providers (411, 61%) indicated that the use of CS is associated with the complexities of our caseload. Limited pain management access was deemed a potential contributing factor for CS in adolescents and first-time mothers. Providers have conflicting views on the adequacy of training to deal with complex or prolonged labour. Obstetricians with more than 10 years of clinical experience indicated that fear of litigation was also associated with CS. Overall, there is consensus on the need to implement interventions to reduce unnecessary CS. Conclusions Public maternity hospitals in Argentina have made significant improvements in the provision of emergency services. The environment of service provision does not seem to facilitate the physiological process of vaginal birth. Providers acknowledged some of these challenges.  
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application/pdf  
dc.language.iso
eng  
dc.publisher
BMJ Publishing  
dc.rights
info:eu-repo/semantics/openAccess  
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https://creativecommons.org/licenses/by-nc-sa/2.5/ar/  
dc.subject
MATERNAL MEDICINE  
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ORGANISATION OF HEALTH SERVICES  
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PUBLIC HEALTH  
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Políticas y Servicios de Salud  
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Ciencias de la Salud  
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CIENCIAS MÉDICAS Y DE LA SALUD  
dc.title
Caesarean birth in public maternities in Argentina: A formative research study on the views of obstetricians, midwives and trainees  
dc.type
info:eu-repo/semantics/article  
dc.type
info:ar-repo/semantics/artículo  
dc.type
info:eu-repo/semantics/publishedVersion  
dc.date.updated
2023-06-09T15:26:41Z  
dc.journal.volume
12  
dc.journal.number
1  
dc.journal.pagination
1-10  
dc.journal.pais
Reino Unido  
dc.description.fil
Fil: Perrotta, Carla. Universidad de Dublin; Irlanda  
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Fil: Romero, Mariana. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Centro de Estudios de Estado y Sociedad; Argentina  
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Fil: Sguassero, Yanina. Centro Rosarino de Estudios Perinatales; Argentina  
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Fil: Straw, Cecilia. Universidad de Buenos Aires; Argentina  
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Fil: Gialdini, Celina. Centro Rosarino de Estudios Perinatales; Argentina  
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Fil: Righetti, Natalia. Centro de Estudios de Estado y Sociedad; Argentina  
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Fil: Betran, Ana Pilar. Organizacion Mundial de la Salud; Argentina  
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Fil: Ramos, Silvina. Centro de Estudios de Estado y Sociedad; Argentina  
dc.journal.title
BMJ Open  
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1136/bmjopen-2021-053419