{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T02:00:37Z","timestamp":1783562437873,"version":"3.55.0"},"reference-count":50,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,8,2]],"date-time":"2024-08-02T00:00:00Z","timestamp":1722556800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the frequency and determinants of medical interventions during childbirth without women's consent at the population level.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The nationwide cross\u2010sectional Enqu\u00eate Nationale P\u00e9rinatale 2021 provided a representative sample of women who delivered in metropolitan France with a 2\u2010month postpartum follow\u2010up (<jats:italic>n<\/jats:italic>\u2009=\u20097394). Rates and 95% confidence intervals (CI) of interventions during childbirth (oxytocin administration, episiotomy or emergency cesarean section) without consent were calculated. Associations with maternal, obstetric, and organizational characteristics were assessed using robust variance Poisson regressions, after multiple imputation for missing covariates, and weighted to account for 2\u2010month attrition.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Women reporting failure to seek consent were 44.7% (CI: 42.6\u201347.0) for oxytocin administration, 60.2% (CI: 55.4\u201365.0) for episiotomy, and 36.6% (CI: 33.3\u201340.0) for emergency cesarean birth. Lack of consent for oxytocin was associated with maternal birth abroad (adjusted prevalence ratio [aPR] 1.20; 95% CI: 1.06\u20131.36), low education level, and increased cervical dilation at oxytocin initiation, whereas women with a birth plan reported less frequently lack of consent (aPR 0.79; 95% CI: 0.68\u20130.92). Delivery assisted by an obstetrician was more often associated with lack of consent for episiotomy (aPR 1.46; 95% CI: 1.11\u20131.94 for spontaneous delivery and aPR 1.39; 95% CI: 1.13\u20131.72 for instrumental delivery, reference: spontaneous delivery with a midwife). Cesarean for fetal distress was associated with failure to ask for consent for emergency cesarean delivery (aPR 1.58; 95% CI: 1.28\u20131.96).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Women frequently reported that perinatal professionals failed to seek consent for interventions during childbirth. Reorganization of care, particularly in emergency contexts, training focusing on adequate communication and promotion of birth plans are necessary to improve women's involvement in decision making during childbirth.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.15830","type":"journal-article","created":{"date-parts":[[2024,8,2]],"date-time":"2024-08-02T09:49:06Z","timestamp":1722592146000},"page":"333-342","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Consent for interventions during childbirth: A national population\u2010based study"],"prefix":"10.1002","volume":"168","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3692-1197","authenticated-orcid":false,"given":"Marianne","family":"Jacques","sequence":"first","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9, Inserm, Center for Research in Epidemiology and StatisticS (CRESS), Obstetrical Perinatal and Pediatric Epidemiology Research Team (EPOP\u00e9)  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne Alice","family":"Chantry","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9, Inserm, Center for Research in Epidemiology and StatisticS (CRESS), Obstetrical Perinatal and Pediatric Epidemiology Research Team (EPOP\u00e9)  Paris France"},{"name":"Midwifery University Department Universit\u00e9 Paris Cit\u00e9  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Evrard","sequence":"additional","affiliation":[{"name":"Collectif Interassociatif Autour de la Naissance (CIANE)  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathalie","family":"Lelong","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9, Inserm, Center for Research in Epidemiology and StatisticS (CRESS), Obstetrical Perinatal and Pediatric Epidemiology Research Team (EPOP\u00e9)  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camille","family":"Le Ray","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9, Inserm, Center for Research in Epidemiology and StatisticS (CRESS), Obstetrical Perinatal and Pediatric Epidemiology Research Team (EPOP\u00e9)  Paris France"},{"name":"Maternit\u00e9 Port Royal, H\u00f4pital Cochin Port Royal, Assistance Publique\u2010H\u00f4pitaux de Paris Universit\u00e9 Paris Cit\u00e9  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the ENP2021 Study Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,8,2]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001847"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15015"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2023.10.003"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/scs.12786"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16091654"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-017-1495-1"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-022-04727-7"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0194906"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0290434"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2022-015538"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19127166"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanepe.2021.100268"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12641"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gofs.2020.04.012"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17217726"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0271105"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/13691058.2021.1970812"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2018.03.055"},{"key":"e_1_2_11_20_1","unstructured":"Collectif Interassociatif Autour de la Naissance.Experiences with induction of childbirth \u2013 an update of the CIANE survey.2015."},{"key":"e_1_2_11_21_1","unstructured":"Collectif Interassociatif Autour de la Naissance.Episiotomy: State of play and women's experiences.2013."},{"key":"e_1_2_11_22_1","volume-title":"French National Perinatal Survey. Births, Two\u2010Months Follow\u2010Up and Facilities. Situation and Evolution Since 2016","author":"Cinelli H","year":"2022"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogoh.2022.102509"},{"key":"e_1_2_11_24_1","volume-title":"Obesity: Preventing and Managing the Global Epidemic: Report of a WHO Consultation on Obesity, Geneva, 3\u20135 June 1997","author":"World Health Organisation","year":"1998"},{"key":"e_1_2_11_25_1","unstructured":"NICE.Overview | Intrapartum care for healthy women and babies | Guidance | NICE.2014. Accessed March 28 2023.https:\/\/www.nice.org.uk\/guidance\/CG190"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogoh.2017.04.011"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/ppe.12770"},{"key":"e_1_2_11_28_1","first-page":"33","article-title":"Diagnostics for formation of nonresponse adjustment cells, with an application to income nonresponse in the U.S. consumer expenditure survey","volume":"23","author":"Elthinge JL","year":"1997","journal-title":"Surv Methodol"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751-5823.2006.00002.x"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-3-21"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwh090"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781119482260"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogc.2022.03.010"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2022.103520"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-019-0729-2"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogoh.2022.102340"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7235e1"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(16)34681-3"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2016.07.504"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2022.11.008"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12728"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1080\/01947648.2018.1482243"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15338"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15339"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogoh.2021.102107"},{"key":"e_1_2_11_46_1","unstructured":"Loi n\u00b02002\u2013303 du 4 mars 2002 relative aux droits des malades et \u00e0 la qualit\u00e9 du syst\u00e8me de sant\u00e9.2002."},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.13128"},{"key":"e_1_2_11_48_1","unstructured":"National Institute for Health and Care Excellence.Shared decision making (NG197).2021."},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000239123.10646.4c"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.14682"},{"key":"e_1_2_11_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)31992-0"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.15830","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,17]],"date-time":"2025-01-17T12:21:24Z","timestamp":1737116484000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.15830"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,2]]},"references-count":50,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1002\/ijgo.15830"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.15830","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,2]]},"assertion":[{"value":"2024-02-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}