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Practice of Primary Elective Cesarean Upon Maternal Request in the Commonwealth of Virginia

Authors


  • The authors report no conflict of interest or relevant financial relationships.

Correspondence

Hind A. Beydoun, PhD, MPH, Eastern Virginia Medical School, Post Office Box 1980, Norfolk, Virginia 23501-1980. baydouha@evms.edu

ABSTRACT

Objectives

To evaluate the practice of on-demand elective cesarean delivery in Virginia.

Design

Cross-sectional.

Setting

Hospital based.

Participants

Nurse managers or labor and delivery charge nurses of all 55 hospitals in Virginia that provide obstetric services.

Methods

Interviews were conducted with participants to obtain quantitative and qualitative data.

Results

71.7% 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.

Conclusions

The 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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