title: A survey of women and health providers about information regarding the timing of driving a car after experiencing a caesarean section.
abstract: BACKGROUND
  In NSW, around 30% of women experience a caesarean section. Anecdotally, few receive consistent information regarding driving after a caesarean delivery.
  
  
  OBJECTIVE
  The aims were to determine the information provided to women following caesarean section and by whom it was given, and compare this with women's actual driving behaviour.
  
  
  METHODS
  Prior to hospital discharge, 101 consenting women completed a survey of five questions documenting the information they received about when to commence driving. They were telephoned 6-8 weeks postpartum and asked when they drove and whether they experienced any problems. Following this, a staff survey was conducted to establish what information was given to women. Insurance companies and government departments were contacted for relevant polices about when women can drive postcaesarean.
  
  
  RESULTS
  100 women completed both surveys (99% of recruits); 65% were advised to wait for 6 weeks or longer before driving. However, 72% of women reported they had driven by 6 weeks, and 35% by 3 weeks. In our sample, women reported minimal discomfort and rarely discontinued driving. Returned staff surveys (n = 138) revealed inconsistent advice ranging from no advice to 8 weeks of driving abstinence. Other recommendations included following insurance company guidelines (of which there were none specific to postcaesarean) (34%), 'listen to your body and be able to perform an emergency stop' (27%).
  
  
  CONCLUSIONS
  Women receive conflicting advice, and current recommendations are not reflected in women's behaviour. Women are driving earlier than advised with minimal reported complications.
authors.affiliation: Population and Clinical Perinatal Health Research, Royal North Shore Hospital, St Leonards, Sydney, NSW, Australia. jsedgley@nsccahs.health.nsw.gov.au
authors.forename: Jocelyn
authors.initials: J
authors.lastname: Sedgley
authors.forename: Kristen
authors.initials: K
authors.lastname: Rickard
authors.forename: Jonathan
authors.initials: J
authors.lastname: Morris
mesh_terms: D000293:Adolescent; D000328:Adult; D001334:Automobile Driving / Q000592:standards / Q000706:statistics & numerical data*; D002585:Cesarean Section / Q000534:rehabilitation*; D003625:Data Collection; D005260:Female; D006801:Humans; D009517:New South Wales; D010349:Patient Compliance / Q000706:statistics & numerical data*; D049590:Postpartum Period; D010818:Practice Patterns, Physicians'; D055815:Young Adult