Coleman-Cowger Victoria H, Erickson Kristine, Spong Catherine Y, Portnoy Barry, Croswell Jennifer, Schulkin Jay
Department of Research, American College of Obstricians and Gynecologists, Washington, DC, USA.
J Reprod Med. 2010 Jan-Feb;55(1-2):25-30.
To determine obstetrician-gynecologists' practice patterns of cesarean delivery on maternal request (CDMR) following the 2006 National Institutes of Health (NIH) State-of-the-Science conference on this topic, and compare them with those in their practice prior to the conference.
Questionnaires were mailed to 612 American College of Obstetricians and Gynecologists fellows who participated in a 2006 preconference survey, with 59% responding. The survey assessed demographic characteristics, practice, attitudes, knowledge regarding potential risks and benefits, counseling practices, and department policies with regards to CDMR.
The majority of obstetrician-gynecologists in our sample continues to believe that a woman has the right to CDMR, but fewer than in 2006 would agree to perform this procedure. In general, obstetrician-gynecologists associate more risks and fewer benefits with CDMR than in 2006.
Some physicians have shifted their perception of CDMR risks and benefits since the NIH State-of-the-Science conference; however, practice patterns have not changed significantly.
确定在2006年美国国立卫生研究院（NIH）关于该主题的科学现状会议之后，妇产科医生应产妇要求实施剖宫产（CDMR）的执业模式，并将其与会议前的执业模式进行比较。
向612名参与2006年会前调查的美国妇产科医师学会会员邮寄问卷，回复率为59%。该调查评估了人口统计学特征、执业情况、态度、对潜在风险和益处的了解、咨询做法以及关于CDMR的科室政策。
我们样本中的大多数妇产科医生仍然认为女性有权要求CDMR，但愿意实施该手术的医生比2006年更少。总体而言，与2006年相比，妇产科医生认为CDMR的风险更多而益处更少。
自NIH科学现状会议以来，一些医生改变了他们对CDMR风险和益处的看法；然而，执业模式并未发生显著变化。
