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  • Title: Current practice of cesarean delivery on maternal request following the 2006 state-of-the-science conference.
    Author: Coleman-Cowger VH, Erickson K, Spong CY, Portnoy B, Croswell J, Schulkin J.
    Journal: J Reprod Med; 2010; 55(1-2):25-30. PubMed ID: 20337204.
    Abstract:
    OBJECTIVE: 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. STUDY DESIGN: 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. RESULTS: 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. CONCLUSION: 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.
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