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Among half of CS that was not decided in line with the guideline, more than two-thirds was decided by doctors and less than one-third of CS was based on maternal request.
Of 304 women who underwent CS, 15.1% (46) were based on maternal request, 34.9% (106) had CS with doctor-defined indications and 50.0% (152) with guideline-defined indications.
However, 34.9% of women undergoing caesarean section did not have any indications listed in the clinical guidelines nor based on maternal request.
As seen in table 3, the women who opted for CS based on maternal request had the lowest maternal self-efficacy score in both the second and third trimester among the four groups.
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This illustrates that about one-third of the CS cases did not have CS indicators defined by the guideline or were not based on maternal requests.
However, effect sizes derived from studies based on maternal rank were considerably larger than effect sizes based on direct measures of maternal condition at conception.
cEstimated based on maternal phased sites.
All perinatal information was based on maternal report.
These recommendations were based on maternal prepregnancy BMI.
Smoking habits during pregnancy were based on maternal self-report.
Marital status and cohabitation were based on maternal self-report.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com