Elective primary cesarean delivery: attitudes of urogynecology and maternal-fetal medicine specialists.
OBJECTIVE
To compare the attitudes of urogynecology and maternal-fetal medicine specialists in the United States regarding elective primary cesarean delivery.


METHODS
A Web-based questionnaire was sent by e-mail to members of the American Urogynecologic Society (AUGS) and the Society for Maternal-Fetal Medicine (SMFM) who reside in the United States. The first e-mail was sent in October 2003, and 2 additional e-mails were sent to nonresponders over the next month. The survey included questions about demographics, practice patterns, and opinions about different clinical scenarios regarding elective primary cesarean delivery.


RESULTS
Of 1,479 surveys sent to functioning e-mail addresses, 782 were completed (52.9% response rate). American Urogynecologic Society and Society for Maternal-Fetal Medicine members were similar in response rate (53.0% versus 52.8%, respectively). Overall, 65.4% of physicians would perform an elective cesarean delivery, but AUGS members were significantly more likely to agree to perform an elective cesarean than SMFM members (80.4% versus 55.4%, respectively, P < .001). In a logistic regression model that included age, sex, having no children, years in practice, and subspecialty (urogynecology or maternal-fetal medicine), AUGS members were 3.4 times (95% confidence interval 2.3-4.9, P < .001) more likely to agree to perform an elective cesarean.


CONCLUSIONS
Among respondents, a majority of urogynecology and maternal-fetal medicine specialists surveyed would perform an elective primary cesarean delivery. Urogynecologists were significantly more likely to support elective cesareans.


METHODS
II-3.
Wu
Jennifer M
JM
Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7570, USA. jmwu@med.unc.edu
Hundley
Andrew F
AF
Visco
Anthony G
AG
D001291:Attitude of Health Personnel; D002585:Cesarean Section / Q000592:standards* / Q000639:trends; D016001:Confidence Intervals; D036861:Delivery, Obstetric / Q000592:standards / Q000639:trends; D017558:Elective Surgical Procedures / Q000592:standards* / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D006176:Gynecology; D019538:Health Care Surveys; D006801:Humans; D015994:Incidence; D016015:Logistic Models; D008297:Male; D009774:Obstetrics / Q000379:methods; D016017:Odds Ratio; D010818:Practice Patterns, Physicians'; D011247:Pregnancy; D011256:Pregnancy Outcome; D011336:Probability; D018570:Risk Assessment; D012955:Societies, Medical; D011795:Surveys and Questionnaires; D014481:United States; D014572:Urology