Medical students' personal choice for mode of delivery in Santa Catarina, Brazil: a cross-sectional, quantitative study

Detalhes bibliográficos
Autor(a) principal: Watanabe, Tatiane
Data de Publicação: 2012
Outros Autores: Knobel, Roxana, Suchard, Guilherme, Franco, Mario Julio, d'Orsi, Eleonora, Consonni, Elenice Bertanha [UNESP], Consonni, Marcos [UNESP]
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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spelling 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
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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)
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