BACKGROUND: Caesarean section (CS) has become an increasingly common method of delivery worldwide, rising in the UK from 9% of deliveries in 1980 to over 21% 2001. This increase, and the question of whether CS should be available to women on request, has been the subject of considerable debate, and national reports and guidelines have specifically highlighted the importance of patient choice in...

BACKGROUND A tool which can help to decide on the determinants in selecting the delivery type is an effective step towards the goals of the World Health. This study aimed to develop and evaluate the psychometric properties of a scale based on Iranian culture to make decision on the type of delivery. METHODS This is a methodological study using a questionnaire proposed by Schneider. The follow...

OBJECTIVE To examine the association between decision to delivery interval and maternal and baby outcomes. DESIGN National cross sectional survey. SETTING Maternity units in England and Wales. SUBJECTS REVIEWED: 17 780 singleton births (99% of all births) delivered by emergency caesarean section in England and Wales between 1 May 2000 and 31 July 2000. MAIN OUTCOME MEASURES Association be...

INTRODUCTION According to national organisations, obstetric services should be able to initiate a caesarean delivery within 30 minutes of the decision to operate. This is uniquely challenging in a small, rural hospital. In 2001, the authors' hospital was unable to meet this guideline reliably. This project demonstrates how we improved our emergency caesarean delivery response time. METHODS Th...

for more than three decades healthcare decentralization has been promoted in developing countries as a way of improving the financing and delivery of public healthcare. decision autonomy under healthcare decentralization would determine the role and scope of responsibility of local authorities. jalal mohammed, nicola north, and toni ashton analyze decision autonomy within decentralized services...

OBJECTIVES To audit interval from decision to delivery in urgent caesarean section to determine whether the current standard of 30 minutes is achievable routinely; to determine whether delay leads to an excess of admissions to special care. DESIGN Three audit cycles over four years followed by a continuous audit over 32 months. SETTING Large district general hospital delivering 5500 women e...

Background: Home delivery in unhygienic environment is common in Nepal. This study aimed to identify whether practice of delivery is changing over time and to explore the factors contributing to women’s decision for choice of place of delivery.

The purpose of this study was to evaluate women who have completed hereditary cancer risk assessment and BRCA genetic testing to determine if they considered themselves prepared to proceed with decision making regarding cancer screening and prevention options. Levels of decisional conflict were explored, as was their preference for information delivery. The prospective, descriptive survey was c...