title: Opinions and attitudes of parturients, midwives, and obstetricians about Caesarean section in the provinces of Podkarpackie, Poland, and Ivano-Frankivsk, Ukraine.
abstract: OBJECTIVE
  Present the opinions of parturients, midwives, and obstetricians concerning CS in the provinces of Podkarpackie (Poland) and Ivano-Frankivsk (Ukraine).
  
  
  METHODS
  An anonymous questionnaire for parturients (n=1,295), midwives (n=47) and obstetricians (n=78), assessing demographics, knowledge and attitudes concerning CS, was distributed in 13 hospitals. In addition to measured anxiety among parturients, we also used the State-Trait Anxiety Inventory (STAI).
  
  
  RESULTS
  Differences between the subgroups concerned respondents' ages and place of residence (p=0.0000). Parturients from Poland more often accepted the possibility of vaginal delivery after previous CS (p=0.0000), they more often believed that free access to epidural analgesia and the presence of a chosen partner in the delivery room would decrease the CS rate (p=0.0000). Polish midwives more rarely accept the idea of CS on maternal request (p=0.0012) and were convinced that free access to epidural analgesia could decrease the rate of CS (p=0.0479). In Poland parturients more often accepted CS on maternal request than obstetricians and midwives (p=0.0000). In Ukrainian population midwives and obstetricians more often accepted possibility of natural delivery after previous CS (p=0.0010). According connected with delivery in Poland parturients returned lower scores on the A-State scale (p=0.0000), but higher scores on the A-Trait scale (p=0.0067).
  
  
  CONCLUSIONS
  There are some differences in Polish and Ukrainian obstetricians, midwives and parturients in respect of: - vaginal delivery after CS, - epidural analgesia, - CS on request, - anxiety connected with labour. The above may to some extend explain the difference in Cs rate in two countries.
authors.affiliation: Institute of Obstetrics and Emergency Medicine, University of Rzeszow, Poland; Clinical Department of Obstetrics and Gynecology, Rzeszow State Hospital, Rzeszow, Poland.
authors.forename: Joanna
authors.initials: J
authors.lastname: Skręt-Magierło
authors.affiliation: The Psychoterapy& Counseling Center, Warrington, UK.
authors.forename: Edyta
authors.initials: E
authors.lastname: Barnaś
authors.affiliation: Clinical Department of Obstetrics and Gynecology, Rzeszow State Hospital, Rzeszow, Poland.
authors.forename: Sławomir
authors.initials: S
authors.lastname: Januszek
authors.affiliation: Institute of Obstetrics and Emergency Medicine, University of Rzeszow, Poland.
authors.forename: Teresa
authors.initials: T
authors.lastname: Zmysło
authors.affiliation: Chair of Obstetrics and Gynecology, Medical University of Iwano- Frankowsk, Ukraine.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Skręt
authors.affiliation: Chair of Obstetrics and Gynecology, Medical University of Iwano- Frankowsk, Ukraine.
authors.forename: Elżbieta
authors.initials: E
authors.lastname: Kraśnianin
authors.affiliation: Chair of Obstetrics and Gynecology, Medical University of Iwano- Frankowsk, Ukraine.
authors.forename: Nataliya
authors.initials: N
authors.lastname: Henryk
authors.affiliation: Chair of Obstetrics and Gynecology, Medical University of Iwano- Frankowsk, Ukraine.
authors.forename: Oksana
authors.initials: O
authors.lastname: Makarchuk
authors.affiliation: Chair of Obstetrics and Gynecology, Medical University of Iwano-Frankowsk, Ukraine.
authors.forename: Iryna
authors.initials: I
authors.lastname: Basiuga
authors.affiliation: Chair of Obstetrics and Gynecology, Medical University of Iwano-Frankowsk, Ukraine.
authors.forename: Omelyan
authors.initials: O
authors.lastname: Kwartsyany
mesh_terms: D000293:Adolescent; D000328:Adult; D001291:Attitude of Health Personnel; D002585:Cesarean Section / Q000523:psychology*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008880:Midwifery; D010361:Patients / Q000523:psychology; D010820:Physicians / Q000523:psychology; D011044:Poland; D011247:Pregnancy; D011795:Surveys and Questionnaires; D014455:Ukraine; D055815:Young Adult