Web-Based Education and Attitude to Delivery by Caesarean Section in Nulliparous Women

Journal of Obstetrics and Gynaecology Canada

Volumn 36, Issue 9, 2014, Pages 768-775

  Kulkarni, Anjali ^a   Wright, Emily ^a   Kingdom, John ^b  

^a UNIVERSITY OF TORONTO   (Canada)

^b MOUNT SINAI HOSPITAL   (Canada)

Author keywords

Attitude; Caesarean section; Safety; Web based patient education

Indexed keywords

ADULT; ARTICLE; ATTITUDE; ATTITUDE TO DELIVERY; BIRTHPLACE; CESAREAN SECTION; CHILDBIRTH EDUCATION; EDUCATIONAL TECHNOLOGY; ETHNICITY; EVIDENCE BASED PRACTICE; FEAR; FEMALE; HEALTH SURVEY; HUMAN; MATERNAL ATTITUDE; NORMAL HUMAN; NULLIPARA; ONLINE SYSTEM; PATIENT PREFERENCE; RISK BENEFIT ANALYSIS; SECOND TRIMESTER PREGNANCY; VAGINAL DELIVERY; WEB BASED EDUCATION; ATTITUDE TO HEALTH; CANADA; DECISION MAKING; EDUCATION; INFORMATION PROCESSING; INTERNET; NATURAL CHILDBIRTH; PARITY; PREGNANCY; PRENATAL CARE; PROCEDURES; PSYCHOLOGY; STATISTICS AND NUMERICAL DATA;

ADULT; CANADA; CESAREAN SECTION; CHOICE BEHAVIOR; DATA COLLECTION; FEAR; FEMALE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; INTERNET; NATURAL CHILDBIRTH; PARITY; PREGNANCY; PRENATAL CARE; PRENATAL EDUCATION;

EID: 84925581102     PISSN: 17012163     EISSN: None     Source Type: Journal    
DOI: 10.1016/S1701-2163(15)30478-3     Document Type: Article

References (20)

1. Gibbons L., Belizan J., Lauer J., Betran A., Merialdi M., Althabe F. The global numbers and costs of additionally needed and unnecessary Caesarean sections performed per year: overuse as a barrier to universal coverage. World Health Report 2010, World Health Organization, Geneva.
2. Giving Birth in Canada: regional trends from 2001-2002 to 2005-2006. Canadian Institute for Health Information 2007, Available at, CIHI, Ottawa, July 25, 2007, Accessed July 10, 2014. https://secure.cihi.ca/free_products/childbirth_aib_070725_e.pdf.
3. Esmail N., Hazel M. Hospital Report Card Ontario 2009 2009, Available at, The Fraser Institute, Vancouver, Accessed July 10, 2014. http://www.hospitalreportcards.ca/on/docs/Complete_Publication.pdf.
4. Gallagher F., Bell L., Waddell G., Benoit A., Cote N. Requesting cesareans without medical indications: an option being considered by young Canadian women. Birth 2012, 39(1):39-47.
5. Althabe F., Belizan J.M. Caesarean section: the paradox. Lancet 2006, 8(9546):1472-1473. 368.
6. Chong E.S.Y., Mongelli M. Attitudes of Singapore women toward cesarean and vaginal deliveries. Int J Gynaecol Obstet 2003, 80:189-194. Available at, Accessed Oct. 22, 2012. http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med4&NEWS=N&AN=12566197.
7. Pakenham S., Chamberlain S.M., Smith G.N. Women's views on elective primary Caesarean section. J Obstet Gynaecol Can 2006, 28(12):1089-1094. Available at:, Accessed October 1, 2012. http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med4&NEWS=N&AN=17169232.
8. Toronto's Health Status Indicator Series: Sociodemographic Profile-Mothers of Infants 2012, Toronto Public Health, Toronto, Available at, Accessed July 10, 2014. https://www1.toronto.ca/City%200f%20Toronto/Toronto%20Public%20Health/Performance%20&%20Standards/Health%20Surveillance%20and%20Epidemiology/Files/pdf/Surveillance%20Indicators/sociodemographic_profile.pdf.
9. Public Health Agency of Canada What mothers say: the Canadian maternity experiences survey 2009, Available at, Public Health Agency of Canada, Ottawa, Accessed May 10, 2013. http://www.phac-aspc.gc.ca/rhs-ssg/survey-eng.php.
10. Delbaere I., Cammu H., Martens E., Tency I., Martens G., Temmerman M. Limiting the Caesarean section rate in low risk pregnancies is key to lowering the trend of increased abdominal deliveries: an observational study. BMC Pregnancy Childbirth 2012, 12:3. Available at:, Accessed July 10, 2014. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3267690.
11. Liu S., Liston R., Joseph K., Heaman M., Sauve R., Kramer M. Maternal mortality and severe morbidity associated with low-risk planned cesarean delivery versus planned vaginal delivery at term. CMAJ 2007, 176(4):455-460.
12. Marshall N., Fu R., Guise J. Impact of multiple cesarean deliveries on maternal morbidity: a systematic review. Am J Obstet Gynecol 2011, 205(3):e1-8. Available at, 262, Accessed July 10, 2014. http://ac.els-cdn.com/S0002937811007630/1-s2.0-S0002937811007630-main.pdf?tid=a6082464-0871-11e4-9ac4-00000aab0f6c&acdnat=1405024673_20419748868260a4b3ca50acaa71cfdcb1.
13. Statistics Canada Individual and household internet use 2009, Available at, Statistics Canada, Ottawa, Accessed Oct. 1, 2012. http://www.statcan.gc.ca/tables-tableaux/sum-som/101/ind01/13_2256_2258-eng.htm?hili_comm23.
14. Walker M., Windrim C., Ellul K., Kingdom J. Web-based education for placental complications of pregnancy. J Obstet Gynaecol Can 2013, 35(4):334-339.
15. Dahlen H.G., Tracy S., Tracy M., Bisits A., Brown C., Thornton C. Rates of obstetric intervention among low-risk women giving birth in private and public hospitals in NSW: a population-based descriptive study. BMJ Open 2012, 2(5). pii:e001723, Available at, Accessed July 10, 2014. http://bmjopen.bmj.com/content/2/5/e001723.full.pdf+html, 10.1136/bmjopen-2012-001723.
16. Einarsdóttir K., Haggar F., Pereira G., Leonard H., de Klerk N., Stanley F.J., et al. Role of public and private funding in the rising caesarean section rate: a cohort study. BMJ Open 2013, 3(5). pii:e002789, Available at, Accessed July 10, 2014. http://bmjopen.bmj.com/content/3/5/e002789.full.pdf+html, 10.1136/bmjopen-2013-002789.
17. de Almeida S., Bettiol H., Barbieri M., da Silva A., Ribeiro V. Significant differences in cesarean section rates between a private and public hospital in Brazil. Cad Saúde Pública v01.24 n0.12. Rio de Janeiro December 2008, Available at, Accessed July 10, 2014. http://www.scielo.br/pdf/csp/v24n12/20.pdf.
18. National Institute for Health and Care Excellence Caesarean section CG132 2011, Available at:, National Institute for Health and Care Excellence, London, Accessed July 10, 2014. http://www.nice.org.uk/guidance/CG132/chapter/introduction.
19. Viswanathan M., Visco A.G., Hartmann K., Wechter M.E., Gartlehner G., Wu J.M., et al. Cesarean delivery on maternal request. Evidence Report/ Technology Assessment No. 133 2006, Available at:, Agency for Healthcare Research and Quality, Rockville, MD, Accessed October 22, 2012, (Prepared by the RTI International-University of North Carolina Evidence-Based Practice Center under Contract No. 290-02-0016.). http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0007616.
20. The American College of Obstetricians and Gynaecologists Caesarean delivery on maternal request. Committee opinion 2013, Available at, ACOG, Washington, DC, Accessed July 10, 2014. https://www.acog.org/~/media/Committee%200pinions/Committee%200n%200bstetric%20%20Practice/c0559.pdf%20?dmc=1&ts=20140710T1140308005.