Turkish obstetricians' personal preference for mode of delivery and attitude toward cesarean delivery on maternal request.
OBJECTIVE
(1) To investigate the cesarean rate among actively practicing obstetricians in Turkey and reasons why they choose this mode of delivery for themselves/partners. (2) To investigate the attitudes, practices, and beliefs with respect to cesarean delivery on maternal request (CDMR) among actively practicing obstetricians in Turkey.


METHODS
This is a descriptive study performed at 7th Congress Of Turkish Society Of Gynecology and Obstetrics. A self-administered questionnaire was used for data collection. During the congress, from the obstetricians attending the congress, 500 were randomly selected; due to the room numbers, the questionnaires (total, 500) and the consent forms were distributed every fourth room. The sampled obstetricians were instructed to return the completed questionnaires and signed consent forms to the congress information desk located throughout the congress. In total, 387 (77.4%) obstetricians responded.


RESULTS
Of the respondents (if female) or their partners (if male), 239 (61.8%) respondents had undergone at least one previous cesarean section (CS), and, of these, 212 (88.7%) were primary elective cesarean deliveries. The most common reason influencing the decision of obstetricians in choosing CS for themselves/partners was reduced anorectal trauma (63.6%). In addition, 158 (40.8%) of the respondents believe that every woman has the right to request a cesarean as a mode of delivery. About half of the respondents (53.2%) said that they would perform a patient-requested CS. The most common reason why obstetricians perform CS due to maternal request was 'anxiety of patient and her partner and due to their insistence'.


CONCLUSIONS
Two-thirds of Turkish obstetricians prefer CS as mode of delivery for themselves/partners. Also half of the obstetricians in our study believe that a woman has the right to request and obtain CDMR, and half of them would agree to perform one.
Arikan
Deniz Cemgil
DC
Department of Obstetrics and Gynecology, Medical Faculty, Kahramanmaras Sutcuimam University, Kahramanmaras, Turkey. drdenizarikan@hotmail.com
Ozer
Ali
A
Arikan
Ilker
I
Coskun
Ayhan
A
Kiran
Hakan
H
D000328:Adult; D001003:Anal Canal / Q000293:injuries; D001291:Attitude of Health Personnel; D002585:Cesarean Section / Q000523:psychology*; D016009:Chi-Square Distribution; D017558:Elective Surgical Procedures / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009774:Obstetrics; D057240:Patient Preference; D010818:Practice Patterns, Physicians'; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D014421:Turkey