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Practice of Primary Elective Cesarean Upon Maternal Request in the Commonwealth of Virginia
Institution:1. Department of Obstetrics & Gynecology, Eastern Virginia Medical School, Norfolk, VA.;2. Graduate Program in Public Health, Eastern Virginia Medical School, Norfolk, VA.;1. İskenderun State Hospital, Department of Urology, Hatay, Turkey;2. Ç ukurova University Faculty of Medicine, Department of Urology, Adana, Turkey;3. Çukurova University Faculty of Medicine, Department of Pathology, Adana, Turkey;4. Experimental Research Center, Çukurova University School of Medicine, Adana, Turkey;5. Çukurova University Faculty of Medicine, Department of Biochemistry, Adana, Turkey;6. University of Healthy Sciences, Adana City Hospital, Department of Urology, Adana, Turkey;1. Department of Surgery, John R. Oishei Children''s Hospital, 1001 Main Street, Buffalo, NY 14202, USA;2. Tripler Army Medical Center, Department of Pediatric Surgery, 1 Jarrett White Rd, Honolulu, HI 96859, USA;3. Division of Pediatric Surgery, Nemours - Alfred I. duPont Hospital for Children, 1600 Rockland Rd, Wilmington, Delaware 19803;4. Division of Neonatology, John R. Oishei Children''s Hospital, 1001 Main Street, Buffalo, NY 14202, USA;5. State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 3435 Main Street, Buffalo, NY, USA;6. Department of Biostatistics, University at Buffalo School of Public Health and Health Professions, 710 Kimball Tower, Buffalo, NY 14214, USA;7. Department of Surgery, John R. Oishei Children''s Hospital, 1001 Main Street, Buffalo, NY 14222, USA
Abstract:ObjectivesTo evaluate the practice of on‐demand elective cesarean delivery in Virginia.DesignCross‐sectional.SettingHospital based.ParticipantsNurse managers or labor and delivery charge nurses of all 55 hospitals in Virginia that provide obstetric services.MethodsInterviews were conducted with participants to obtain quantitative and qualitative data.Results71.7% of hospitals reported that they would allow and have performed on‐demand cesarean delivery. The prevalence of this practice did not vary substantially according to hospital size and type or characteristics of providers of obstetric care. The only criterion that all hospitals mandated before allowing on‐demand cesarean delivery was that pregnancy must have completed 39 weeks of gestation.ConclusionsThe perception of labor and delivery managers in Virginia is that on‐demand elective cesarean delivery is a patient‐driven practice that does not appear to be influenced by hospital characteristics.
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