{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T14:11:35Z","timestamp":1680358295166},"reference-count":7,"publisher":"Walter de Gruyter GmbH","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,3,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jpm-2022-0165_abs_001\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Caesarean section (CS) rates in middle- and high-income countries are rising partly due to maternal request. This study aimed to explore the personal and professional attitudes of midwives and nurses towards women\u2019s delivery choices, interventions and neonatal care.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2022-0165_abs_002\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Midwifery and nursing staff at the Coombe hospital were asked to complete a questionnaire concerning decisions for elective CS and neonatal care. The midwives\u2019 responses were divided into multiparous and nulliparous according to their own parity.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2022-0165_abs_003\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Multiparae and nulliparae did not differ on their personal preferences for their own baby. Only 3% wanted an elective CS in a normal, healthy pregnancy but this increased to 80.2% when there was a breech presentation and 42% if the estimated fetal weight was &gt;4.5\u00a0kg. These numbers and trends were very close to the midwives\u2019 professional recommendations under the same circumstances. The lower threshold for full resuscitation and ICU care was at 23 and 24\u00a0weeks gestation for both personal and professional recommendations. In the case of severely premature babies or babies with a poor prognosis, 54% stated that the approach to neonatal care was correct.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2022-0165_abs_004\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Overall, midwives\u2019 professional views reflected what they would want for themselves and their babies. Only 3% recommended an elective CS in a normal, healthy pregnancy making it unlikely that midwives\u2019 attitudes are driving the rise in CS rates in Ireland.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jpm-2022-0165","type":"journal-article","created":{"date-parts":[[2022,9,13]],"date-time":"2022-09-13T00:34:06Z","timestamp":1663029246000},"page":"392-395","source":"Crossref","is-referenced-by-count":0,"title":["Midwives\u2019 personal and professional attitudes towards women\u2019s delivery choices, interventions and neonatal care"],"prefix":"10.1515","volume":"51","author":[{"given":"Ailbhe","family":"Duffy","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology , Coombe Women and Infants University Hospital , Dublin , Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chloe","family":"Maculey","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology , Coombe Women and Infants University Hospital , Dublin , Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen W.","family":"Lindow","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology , Coombe Women and Infants University Hospital , Dublin , Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael P.","family":"O\u2019Connell","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology , Coombe Women and Infants University Hospital , Dublin , Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2022,9,13]]},"reference":[{"key":"2023033123593961904_j_jpm-2022-0165_ref_001","doi-asserted-by":"crossref","unstructured":"Betran, AP, Ye, J, Moller, AB, Zhang, J, Gulmezoglu, AM, Torloni, MR. The increasing trend in caesarean section rates: global, regional and national estimates: 1990\u20132014. Plos One 2016;11:e0148343. https:\/\/doi.org\/10.1371\/journal.pone.0148343.","DOI":"10.1371\/journal.pone.0148343"},{"key":"2023033123593961904_j_jpm-2022-0165_ref_002","doi-asserted-by":"crossref","unstructured":"Bailit, JL, Love, TE, Mercer, B. Rising cesarean rates: are patients sicker? Am J Obstet Gynecol 2004;191:800\u20133. https:\/\/doi.org\/10.1016\/j.ajog.2004.01.051.","DOI":"10.1016\/j.ajog.2004.01.051"},{"key":"2023033123593961904_j_jpm-2022-0165_ref_003","doi-asserted-by":"crossref","unstructured":"Mazzoni, A, Althabe, F, Liu, NH, Bonotti, AM, Gibbons, L, Sanchez, AJ, et al.. Women\u2019s preference for caesarean section: a systematic review and meta-analysis of observational studies. BJOG 2011;118:391\u20139. https:\/\/doi.org\/10.1111\/j.1471-0528.2010.02793.x.","DOI":"10.1111\/j.1471-0528.2010.02793.x"},{"key":"2023033123593961904_j_jpm-2022-0165_ref_004","doi-asserted-by":"crossref","unstructured":"Samaan, MC, Cuttini, M, Casotto, V, Ryan, CA. Doctors\u2019 and nurses\u2019 attitudes towards neonatal ethical decision making in Ireland. Arch Dis Child Fetal Neonatal Ed 2008;93:F217\u201321. https:\/\/doi.org\/10.1136\/adc.2006.113597.","DOI":"10.1136\/adc.2006.113597"},{"key":"2023033123593961904_j_jpm-2022-0165_ref_005","doi-asserted-by":"crossref","unstructured":"Panda, S, Begley, C, Daly, D. Clinicians\u2019 views of factors influencing decision-making for caesarean section: a systematic review and metasynthesis of qualitative, quantitative and mixed methods studies. Plos One 2018;13:e0200941. https:\/\/doi.org\/10.1371\/journal.pone.0200941.","DOI":"10.1371\/journal.pone.0200941"},{"key":"2023033123593961904_j_jpm-2022-0165_ref_006","doi-asserted-by":"crossref","unstructured":"Rivo, JC, Amyx, M, Pingray, V, Casale, RA, Fiorillo, AE, Krupitzki, HB, et al.. Obstetrical providers\u2019 preferred mode of delivery and attitude towards non-medically indicated caesarean sections: a cross-sectional study. BJOG 2018;125:1294\u2013302. https:\/\/doi.org\/10.1111\/1471-0528.15122.","DOI":"10.1111\/1471-0528.15122"},{"key":"2023033123593961904_j_jpm-2022-0165_ref_007","doi-asserted-by":"crossref","unstructured":"Rebagliato, M, Cuttini, M, Broggin, L, Berbik, I, de Vonderweid, U, Hansen, G, et al.. Neonatal end-of-life decision making: physicians\u2019 attitudes and relationship with self-reported practices in 10 European countries. JAMA 2000;284:2451\u20139. https:\/\/doi.org\/10.1001\/jama.284.19.2451.","DOI":"10.1001\/jama.284.19.2451"}],"container-title":["Journal of Perinatal Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/jpm-2022-0165\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/jpm-2022-0165\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T13:31:29Z","timestamp":1680355889000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/jpm-2022-0165\/html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,13]]},"references-count":7,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,8,8]]},"published-print":{"date-parts":[[2023,3,28]]}},"alternative-id":["10.1515\/jpm-2022-0165"],"URL":"https:\/\/doi.org\/10.1515\/jpm-2022-0165","relation":{},"ISSN":["0300-5577","1619-3997"],"issn-type":[{"value":"0300-5577","type":"print"},{"value":"1619-3997","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,13]]}}}