Please use this identifier to cite or link to this item:
10.1002/ijgo.14459
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 |
Authors: | IMAgiNE EURO study group Miani, Céline Wandschneider, Lisa Pumpure, Elizabete Jakovicka, Dārta Rezeberga, Dace Department of Obstetrics and Gynaecology Faculty of Medicine |
Keywords: | Female;Humans;Pregnancy;COVID-19/epidemiology;Medicalization;Multilevel Analysis;Pandemics;World Health Organization;3.3 Health sciences;3.2 Clinical medicine;1.1. Scientific article indexed in Web of Science and/or Scopus database |
Issue Date: | Dec-2022 |
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 |
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. |
Description: | © 2022 The Authors. International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics. |
DOI: | 10.1002/ijgo.14459 |
ISSN: | 0020-7292 |
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.