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Preference for cesarean section in young nulligravid women in eight OECD countries and implications for reproductive health education

Overview of attention for article published in Reproductive Health, September 2017
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • Among the highest-scoring outputs from this source (#28 of 1,432)
  • High Attention Score compared to outputs of the same age (96th percentile)
  • High Attention Score compared to outputs of the same age and source (97th percentile)

Mentioned by

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10 news outlets
twitter
3 X users
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2 Facebook pages

Citations

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47 Dimensions

Readers on

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227 Mendeley
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Title
Preference for cesarean section in young nulligravid women in eight OECD countries and implications for reproductive health education
Published in
Reproductive Health, September 2017
DOI 10.1186/s12978-017-0354-x
Pubmed ID
Authors

Kathrin H. Stoll, Yvonne L. Hauck, Soo Downe, Deborah Payne, Wendy A. Hall, International Childbirth Attitudes- Prior to Pregnancy (ICAPP) Study Team

Abstract

Efforts to reduce unnecessary Cesarean sections (CS) in high and middle income countries have focused on changing hospital cultures and policies, care provider attitudes and behaviors, and increasing women's knowledge about the benefits of vaginal birth. These strategies have been largely ineffective. Despite evidence that women have well-developed preferences for mode of delivery prior to conceiving their first child, few studies and no interventions have targeted the next generation of maternity care consumers. The objectives of the study were to identify how many women prefer Cesarean section in a hypothetical healthy pregnancy, why they prefer CS and whether women report knowledge gaps about pregnancy and childbirth that can inform educational interventions. Data was collected via an online survey at colleges and universities in 8 OECD countries (Australia, Canada, Chile, England, Germany, Iceland, New Zealand, United States) in 2014/2015. Childless young men and women between 18 and 40 years of age who planned to have at least one child in the future were eligible to participate. The current analysis is focused on the attitudes of women (n = 3616); rates of CS preference across countries are compared, using a standardized cohort of women aged 18-25 years, who were born in the survey country and did not study health sciences (n = 1390). One in ten young women in our study preferred CS, ranging from 7.6% in Iceland to 18.4% in Australia. Fear of uncontrollable labor pain and fear of physical damage were primary reasons for preferring a CS. Both fear of childbirth and preferences for CS declined as the level of confidence in women's knowledge of pregnancy and birth increased. Education sessions delivered online, through social media, and face-to-face using drama and stories told by peers (young women who have recently had babies) or celebrities could be designed to maximize young women's capacity to understand the physiology of labor and birth, and the range of methods available to support them in coping with labor pain and to minimize invasive procedures, therefore reducing fear of pain, bodily damage, and loss of control. The most efficacious designs and content for such education for young women and girls remains to be tested in future studies.

X Demographics

X Demographics

The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 227 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 227 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 30 13%
Student > Bachelor 29 13%
Researcher 20 9%
Student > Ph. D. Student 17 7%
Student > Doctoral Student 13 6%
Other 40 18%
Unknown 78 34%
Readers by discipline Count As %
Nursing and Health Professions 43 19%
Medicine and Dentistry 40 18%
Social Sciences 11 5%
Psychology 8 4%
Unspecified 5 2%
Other 31 14%
Unknown 89 39%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 82. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 06 December 2017.
All research outputs
#454,646
of 23,316,003 outputs
Outputs from Reproductive Health
#28
of 1,432 outputs
Outputs of similar age
#10,605
of 316,750 outputs
Outputs of similar age from Reproductive Health
#2
of 37 outputs
Altmetric has tracked 23,316,003 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 98th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,432 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 12.1. This one has done particularly well, scoring higher than 98% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 316,750 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 96% of its contemporaries.
We're also able to compare this research output to 37 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 97% of its contemporaries.