Medical students' personal choice for mode of delivery in Santa Catarina, Brazil: a cross-sectional, quantitative study
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1186/1472-6920-12-57 http://hdl.handle.net/11449/12107 |
Resumo: | Background: The increase in overall rates of cesarean sections (CS) in Brazil causes concern and it appears that multiple factors are involved in this fact. In 2009, undergraduate students in the first and final years of medical school at the University of Santa Catarina answered questionnaires regarding their choice of mode of delivery. The aim of the study was to evaluate whether the education process affects decision-making regarding the waay of childbirth preferred by medical students.Methods: A cross-sectional, quantitative study was conducted based on data obtained from questionnaires applied to medical students. The questions addressed four different scenarios in childbirth, as follows: under an uneventful pregnancy; the mode of delivery for a pregnant woman under their care; the best choice as a healthcare manager and lastly, choosing the birth of their own child. For each circumstance, there was an open question to explain their choice.Results: A total of 189 students answered the questionnaires. For any uneventful pregnancy and for a pregnant woman under their care, 8.46% of the students would opt for CS. As a healthcare manager, only 2.64% of the students would recommend CS. For these three scenarios, the answers of the students in the first year did not differ from those given by students in the sixth year. In the case of the student's own or a partner's pregnancy, 41.4% of those in the sixth year and 16.8% of those in the first year would choose a CS. A positive association was found between being a sixth year student and a personal preference for CS according to logistic regression (OR = 2.91; 95%CI: 1.03-8.30). Pain associated with vaginal delivery was usually the reason for choosing a CS.Conclusions: A higher number of sixth year students preferred a CS for their own pregnancy (or their partner's) compared to first year students. Pain associated with vaginal delivery was the most common reason given for haven chosen a CS. The students' preference for childbirth changed over time during their graduation in favor of cesarean sections. This finding deserves considerable attention when structuring medical education in Obstetrics. |
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Medical students' personal choice for mode of delivery in Santa Catarina, Brazil: a cross-sectional, quantitative studyCesarean sectionWomen's healthcareMedical educationObstetricsBackground: The increase in overall rates of cesarean sections (CS) in Brazil causes concern and it appears that multiple factors are involved in this fact. In 2009, undergraduate students in the first and final years of medical school at the University of Santa Catarina answered questionnaires regarding their choice of mode of delivery. The aim of the study was to evaluate whether the education process affects decision-making regarding the waay of childbirth preferred by medical students.Methods: A cross-sectional, quantitative study was conducted based on data obtained from questionnaires applied to medical students. The questions addressed four different scenarios in childbirth, as follows: under an uneventful pregnancy; the mode of delivery for a pregnant woman under their care; the best choice as a healthcare manager and lastly, choosing the birth of their own child. For each circumstance, there was an open question to explain their choice.Results: A total of 189 students answered the questionnaires. For any uneventful pregnancy and for a pregnant woman under their care, 8.46% of the students would opt for CS. As a healthcare manager, only 2.64% of the students would recommend CS. For these three scenarios, the answers of the students in the first year did not differ from those given by students in the sixth year. In the case of the student's own or a partner's pregnancy, 41.4% of those in the sixth year and 16.8% of those in the first year would choose a CS. A positive association was found between being a sixth year student and a personal preference for CS according to logistic regression (OR = 2.91; 95%CI: 1.03-8.30). Pain associated with vaginal delivery was usually the reason for choosing a CS.Conclusions: A higher number of sixth year students preferred a CS for their own pregnancy (or their partner's) compared to first year students. Pain associated with vaginal delivery was the most common reason given for haven chosen a CS. The students' preference for childbirth changed over time during their graduation in favor of cesarean sections. This finding deserves considerable attention when structuring medical education in Obstetrics.Univ Santa Catarina UFSC, Dept Gynecol & Obstet, Florianopolis, SC, BrazilUniv Santa Catarina UFSC, Dept Publ Hlth, Florianopolis, SC, BrazilUniv Estadual Paulista Unesp, Botucatu Sch Med, Dept Neurol Psychol & Psychiat, Botucatu, SP, BrazilUniv Estadual Paulista Unesp, Botucatu Sch Med, Dept Gynecol & Obstet, Botucatu, SP, BrazilUniv Estadual Paulista Unesp, Botucatu Sch Med, Dept Neurol Psychol & Psychiat, Botucatu, SP, BrazilUniv Estadual Paulista Unesp, Botucatu Sch Med, Dept Gynecol & Obstet, Botucatu, SP, BrazilBiomed Central Ltd.Univ Santa Catarina UFSCUniversidade Estadual Paulista (Unesp)Watanabe, TatianeKnobel, RoxanaSuchard, GuilhermeFranco, Mario Juliod'Orsi, EleonoraConsonni, Elenice Bertanha [UNESP]Consonni, Marcos [UNESP]2014-05-20T13:35:14Z2014-05-20T13:35:14Z2012-07-20info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article9application/pdfhttp://dx.doi.org/10.1186/1472-6920-12-57Bmc Medical Education. London: Biomed Central Ltd., v. 12, p. 9, 2012.1472-6920http://hdl.handle.net/11449/1210710.1186/1472-6920-12-57WOS:000314109300001WOS000314109300001.pdf98101890079083650000-0003-2637-9277Web of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengBmc Medical Education1.5110,765info:eu-repo/semantics/openAccess2024-08-16T15:46:26Zoai:repositorio.unesp.br:11449/12107Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-16T15:46:26Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Medical students' personal choice for mode of delivery in Santa Catarina, Brazil: a cross-sectional, quantitative study |
title |
Medical students' personal choice for mode of delivery in Santa Catarina, Brazil: a cross-sectional, quantitative study |
spellingShingle |
Medical students' personal choice for mode of delivery in Santa Catarina, Brazil: a cross-sectional, quantitative study Watanabe, Tatiane Cesarean section Women's healthcare Medical education Obstetrics |
title_short |
Medical students' personal choice for mode of delivery in Santa Catarina, Brazil: a cross-sectional, quantitative study |
title_full |
Medical students' personal choice for mode of delivery in Santa Catarina, Brazil: a cross-sectional, quantitative study |
title_fullStr |
Medical students' personal choice for mode of delivery in Santa Catarina, Brazil: a cross-sectional, quantitative study |
title_full_unstemmed |
Medical students' personal choice for mode of delivery in Santa Catarina, Brazil: a cross-sectional, quantitative study |
title_sort |
Medical students' personal choice for mode of delivery in Santa Catarina, Brazil: a cross-sectional, quantitative study |
author |
Watanabe, Tatiane |
author_facet |
Watanabe, Tatiane Knobel, Roxana Suchard, Guilherme Franco, Mario Julio d'Orsi, Eleonora Consonni, Elenice Bertanha [UNESP] Consonni, Marcos [UNESP] |
author_role |
author |
author2 |
Knobel, Roxana Suchard, Guilherme Franco, Mario Julio d'Orsi, Eleonora Consonni, Elenice Bertanha [UNESP] Consonni, Marcos [UNESP] |
author2_role |
author author author author author author |
dc.contributor.none.fl_str_mv |
Univ Santa Catarina UFSC Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Watanabe, Tatiane Knobel, Roxana Suchard, Guilherme Franco, Mario Julio d'Orsi, Eleonora Consonni, Elenice Bertanha [UNESP] Consonni, Marcos [UNESP] |
dc.subject.por.fl_str_mv |
Cesarean section Women's healthcare Medical education Obstetrics |
topic |
Cesarean section Women's healthcare Medical education Obstetrics |
description |
Background: The increase in overall rates of cesarean sections (CS) in Brazil causes concern and it appears that multiple factors are involved in this fact. In 2009, undergraduate students in the first and final years of medical school at the University of Santa Catarina answered questionnaires regarding their choice of mode of delivery. The aim of the study was to evaluate whether the education process affects decision-making regarding the waay of childbirth preferred by medical students.Methods: A cross-sectional, quantitative study was conducted based on data obtained from questionnaires applied to medical students. The questions addressed four different scenarios in childbirth, as follows: under an uneventful pregnancy; the mode of delivery for a pregnant woman under their care; the best choice as a healthcare manager and lastly, choosing the birth of their own child. For each circumstance, there was an open question to explain their choice.Results: A total of 189 students answered the questionnaires. For any uneventful pregnancy and for a pregnant woman under their care, 8.46% of the students would opt for CS. As a healthcare manager, only 2.64% of the students would recommend CS. For these three scenarios, the answers of the students in the first year did not differ from those given by students in the sixth year. In the case of the student's own or a partner's pregnancy, 41.4% of those in the sixth year and 16.8% of those in the first year would choose a CS. A positive association was found between being a sixth year student and a personal preference for CS according to logistic regression (OR = 2.91; 95%CI: 1.03-8.30). Pain associated with vaginal delivery was usually the reason for choosing a CS.Conclusions: A higher number of sixth year students preferred a CS for their own pregnancy (or their partner's) compared to first year students. Pain associated with vaginal delivery was the most common reason given for haven chosen a CS. The students' preference for childbirth changed over time during their graduation in favor of cesarean sections. This finding deserves considerable attention when structuring medical education in Obstetrics. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-07-20 2014-05-20T13:35:14Z 2014-05-20T13:35:14Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1186/1472-6920-12-57 Bmc Medical Education. London: Biomed Central Ltd., v. 12, p. 9, 2012. 1472-6920 http://hdl.handle.net/11449/12107 10.1186/1472-6920-12-57 WOS:000314109300001 WOS000314109300001.pdf 9810189007908365 0000-0003-2637-9277 |
url |
http://dx.doi.org/10.1186/1472-6920-12-57 http://hdl.handle.net/11449/12107 |
identifier_str_mv |
Bmc Medical Education. London: Biomed Central Ltd., v. 12, p. 9, 2012. 1472-6920 10.1186/1472-6920-12-57 WOS:000314109300001 WOS000314109300001.pdf 9810189007908365 0000-0003-2637-9277 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Bmc Medical Education 1.511 0,765 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
9 application/pdf |
dc.publisher.none.fl_str_mv |
Biomed Central Ltd. |
publisher.none.fl_str_mv |
Biomed Central Ltd. |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
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1808128207480684544 |