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Perspectives, Decision Making, and Final Mode of Delivery in Pregnant Women With a Previous C-Section in a General Hospital in Peru: Prospective Analysis.
Lazo-Porras, Maria; Bayer, Angela M; Acuña-Villaorduña, Ana; Zeballos-Palacios, Claudia; Cardenas-Montero, Deborah; Reyes-Diaz, Michael; Naranjo-Caceres, Monica; Malaga, German.
Afiliação
  • Lazo-Porras M; Unidad de Conocimiento y Evidencia, Universidad Peruana Cayetano Heredia, Lima, Peru (MLP, AAV, CZP, DCM, MRD, GM).
  • Bayer AM; Facultad de Salud Pública y Administración, Universidad Peruana Cayetano Heredia, Lima, Peru (AMB).
  • Acuña-Villaorduña A; David Geffen School of Medicine, University of California, Los Angeles, CA, USA (AMB).
  • Zeballos-Palacios C; Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN, USA (CZP).
  • Cardenas-Montero D; Hospital Nacional Cayetano Heredia, Lima, Peru (MNC, GM).
  • Reyes-Diaz M; Unidad de Conocimiento y Evidencia, Universidad Peruana Cayetano Heredia, Lima, Peru (MLP, AAV, CZP, DCM, MRD, GM).
  • Naranjo-Caceres M; Facultad de Salud Pública y Administración, Universidad Peruana Cayetano Heredia, Lima, Peru (AMB).
  • Malaga G; David Geffen School of Medicine, University of California, Los Angeles, CA, USA (AMB).
MDM Policy Pract ; 2(2): 2381468317724409, 2017.
Article em En | MEDLINE | ID: mdl-30288428
Objective: Explore the perspectives, decision-making process, and final mode of delivery among pregnant women with a previous C-section (Cesarean section) in a general public sector hospital in Lima, Peru. Methods: A qualitative prospective study using semistructured interviews at two time points in the outpatient obstetrics and gynecology clinic of a public sector, university-affiliated reference hospital in Lima, Peru. Seventeen adult pregnant women with a prior C-section who were deemed by their attending obstetrician to be candidates for a trial of labor were interviewed. The first interview was between 37 and 38 weeks of pregnancy, and the second interview was 24 to 48 hours after delivery. MAIN OUTCOME MEASURES: Predelivery decision-making process and final mode of delivery. Results: Among the 17 participants, about half (9) of the participants stated that the physician explained that they had two approaches for delivery, a trial of labor after C-section (TOLAC) or elective repeated C-section (ERCD). Two women stated that their respective providers explained only one option, either an ERCD or TOLAC. However, 6 women did not receive any information from their providers about their delivery options. Of the 10 participants that decided TOLAC, 8 ended up having a C-section, and of the 7 patients that had planned an ERCD, 1 ended up having a vaginal delivery. Conclusion: Many participants affirmed that they made the decision about their approach of delivery. However, most of the participants that decided a TOLAC ended up having a C-section because of complications during the final weeks of pregnancy or during labor.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Observational_studies / Prognostic_studies / Qualitative_research País/Região como assunto: America do sul / Peru Idioma: En Revista: MDM Policy Pract Ano de publicação: 2017 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Observational_studies / Prognostic_studies / Qualitative_research País/Região como assunto: America do sul / Peru Idioma: En Revista: MDM Policy Pract Ano de publicação: 2017 Tipo de documento: Article País de publicação: Estados Unidos