Please use this identifier to cite or link to this item:
10.1002/ijgo.14459
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | IMAgiNE EURO study group | - |
dc.contributor.author | Miani, Céline | - |
dc.contributor.author | Wandschneider, Lisa | - |
dc.contributor.author | Pumpure, Elizabete | - |
dc.contributor.author | Jakovicka, Dārta | - |
dc.contributor.author | Rezeberga, Dace | - |
dc.date.accessioned | 2023-01-09T09:40:02Z | - |
dc.date.available | 2023-01-09T09:40:02Z | - |
dc.date.issued | 2022-12 | - |
dc.identifier.citation | IMAgiNE EURO study group , Miani , C , Wandschneider , L , Pumpure , E , Jakovicka , D & Rezeberga , D 2022 , ' Individual and country-level variables associated with the medicalization of birth : Multilevel analyses of IMAgiNE EURO data from 15 countries in the WHO European region ' , International Journal of Gynecology and Obstetrics , vol. 159 , no. Suppl. 1 , pp. 9-21 . https://doi.org/10.1002/ijgo.14459 | - |
dc.identifier.issn | 0020-7292 | - |
dc.identifier.uri | https://dspace.rsu.lv/jspui/handle/123456789/10010 | - |
dc.description | © 2022 The Authors. International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics. | - |
dc.description.abstract | OBJECTIVE: To investigate potential associations between individual and country-level factors and medicalization of birth in 15 European countries during the COVID-19 pandemic. METHODS: Online anonymous survey of women who gave birth in 2020-2021. Multivariable multilevel logistic regression models estimating associations between indicators of medicalization (cesarean, instrumental vaginal birth [IVB], episiotomy, fundal pressure) and proxy variables related to care culture and contextual factors at the individual and country level. RESULTS: Among 27 173 women, 24.4% (n = 6650) had a cesarean and 8.8% (n = 2380) an IVB. Among women with IVB, 41.9% (n = 998) reported receiving fundal pressure. Among women with spontaneous vaginal births, 22.3% (n = 4048) had an episiotomy. Less respectful care, as perceived by the women, was associated with higher levels of medicalization. For example, women who reported having a cesarean, IVB, or episiotomy reported not feeling treated with dignity more frequently than women who did not have those interventions (odds ratio [OR] 1.37; OR 1.61; OR 1.51, respectively; all: P < 0.001). Country-level variables contributed to explaining some of the variance between countries. CONCLUSION: We recommend a greater emphasis in health policies on promotion of respectful and patient-centered care approaches to birth to enhance women's experiences of care, and the development of a European-level indicator to monitor medicalization of reproductive care. | en |
dc.format.extent | 13 | - |
dc.format.extent | 1727009 | - |
dc.language.iso | eng | - |
dc.relation.ispartof | International Journal of Gynecology and Obstetrics | - |
dc.rights | info:eu-repo/semantics/openAccess | - |
dc.subject | Female | - |
dc.subject | Humans | - |
dc.subject | Pregnancy | - |
dc.subject | COVID-19/epidemiology | - |
dc.subject | Medicalization | - |
dc.subject | Multilevel Analysis | - |
dc.subject | Pandemics | - |
dc.subject | World Health Organization | - |
dc.subject | 3.3 Health sciences | - |
dc.subject | 3.2 Clinical medicine | - |
dc.subject | 1.1. Scientific article indexed in Web of Science and/or Scopus database | - |
dc.title | Individual and country-level variables associated with the medicalization of birth : Multilevel analyses of IMAgiNE EURO data from 15 countries in the WHO European region | en |
dc.type | /dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article | - |
dc.identifier.doi | 10.1002/ijgo.14459 | - |
dc.contributor.institution | Department of Obstetrics and Gynaecology | - |
dc.contributor.institution | Faculty of Medicine | - |
dc.identifier.url | https://www-webofscience-com.db.rsu.lv/wos/woscc/full-record/WOS:000905238400002 | - |
dc.description.status | Peer reviewed | - |
Appears in Collections: | Research outputs from Pure / Zinātniskās darbības rezultāti no ZDIS Pure |
Files in This Item:
File | Size | Format | |
---|---|---|---|
Individual_and_country_level_variables_associated_with_the_medicalization_of_birth.pdf | 1.69 MB | Adobe PDF | View/Open |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.