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Individual and country‐level variables associated with the medicalization of birth: Multilevel analyses of IMAgiNE EURO data from 15 countries in the WHO European region

2022Journal article Open access
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dc.contributor.authorMiani, Céline
dc.contributor.authorWandschneider, Lisa
dc.contributor.authorBatram‐Zantvoort, Stephanie
dc.contributor.authorCovi, Benedetta
dc.contributor.authorElden, Helen
dc.contributor.authorNedberg, Ingvild Hersoug
dc.contributor.authorDrglin, Zalka
dc.contributor.authorPumpure, Elizabete
dc.contributor.authorCosta, Raquel
dc.contributor.authorRozée, Virginie
dc.contributor.authorOtelea, Marina Ruxandra
dc.contributor.authorDrandić, Daniela
dc.contributor.authorRadetic, Jelena
dc.contributor.authorAbderhalden‐Zellweger, Alessia
dc.contributor.authorĆerimagić, Amira
dc.contributor.authorArendt, Maryse
dc.contributor.authorMariani, Ilaria
dc.contributor.authorLinden, Karolina
dc.contributor.authorPonikvar, Barbara Mihevc
dc.contributor.authorJakovicka, Dārta
dc.contributor.authorDias, Heloisa
dc.contributor.authorRuzicic, Jovana
dc.contributor.authorde Labrusse, Claire
dc.contributor.authorValente, Emanuelle Pessa
dc.contributor.authorZaigham, Mehreen
dc.contributor.authorBohinec, Anja
dc.contributor.authorRezeberga, Dace
dc.contributor.authorBarata, Catarina
dc.contributor.authorPfund, Anouk
dc.contributor.authorSacks, Emma
dc.contributor.authorLazzerini, Marzia
dc.contributor.authorĆerimagić, Amira
dc.contributor.authorDrandić Roda, Daniela
dc.contributor.authorKurbanović, Magdalena
dc.contributor.authorVirginie, Rozée
dc.contributor.authorde La Rochebrochard, Elise
dc.contributor.authorLöfgren, Kristina
dc.contributor.authorMiani, Céline
dc.contributor.authorBatram‐Zantvoort, Stephanie
dc.contributor.authorWandschneider, Lisa
dc.contributor.authorLazzerini, Marzia
dc.contributor.authorValente, Emanuelle Pessa
dc.contributor.authorCovi, Benedetta
dc.contributor.authorMariani, Ilaria
dc.contributor.authorMorano, Sandra
dc.contributor.authorChertok, Ilana
dc.contributor.authorHefer, Emek
dc.contributor.authorArtzi‐Medvedik, Rada
dc.contributor.authorPumpure, Elizabete
dc.contributor.authorRezeberga, Dace
dc.contributor.authorJansone‐Šantare, Gita
dc.contributor.authorJakovicka, Dārta
dc.contributor.authorKnoka, Anna Regīna
dc.contributor.authorVilcāne, Katrīna Paula
dc.contributor.authorLiepinaitienė, Alina
dc.contributor.authorKondrakova, Andželika
dc.contributor.authorMizgaitienė, Marija
dc.contributor.authorJuciūtė, Simona
dc.contributor.authorArendt, Maryse
dc.contributor.authorTasch, Barbara
dc.contributor.authorNedberg, Ingvild Hersoug
dc.contributor.authorKongslien, Sigrun
dc.contributor.authorVik, Eline Skirnisdottir
dc.contributor.authorBaranowska, Barbara
dc.contributor.authorTataj‐Puzyna, Urszula
dc.contributor.authorWęgrzynowska, Maria
dc.contributor.authorCosta, Raquel
dc.contributor.authorBarata, Catarina
dc.contributor.authorSantos, Teresa
dc.contributor.authorRodrigues, Carina
dc.contributor.authorDias, Heloísa
dc.contributor.authorOtelea, Marina Ruxandra
dc.contributor.authorRadetić, Jelena
dc.contributor.authorRužičić, Jovana
dc.contributor.authorDrglin, Zalka
dc.contributor.authorPonikvar, Barbara Mihevc
dc.contributor.authorBohinec, Anja
dc.contributor.authorBrigidi, Serena
dc.contributor.authorCastañeda, Lara Martín
dc.contributor.authorElden, Helen
dc.contributor.authorSengpiel, Verena
dc.contributor.authorLinden, Karolina
dc.contributor.authorZaigham, Mehreen
dc.contributor.authorDe Labrusse, Claire
dc.contributor.authorAbderhalden, Alessia
dc.contributor.authorPfund, Anouck
dc.contributor.authorThorn, Harriet
dc.contributor.authorGrylka, Susanne
dc.contributor.authorGemperle, Michael
dc.contributor.authorMueller, Antonia
dc.date.accessioned2023-01-05T16:05:23Z
dc.date.available2023-01-05T16:05:23Z
dc.date.issued2022
dc.description.abstractObjective: To investigate potential associations between individual and country- level factors and medicalization of birth in 15 European countries during the COVID- 19 pandemic. Methods: Online anonymous survey of women who gave birth in 2020– 2021. Multivariable multilevel logistic regression models estimating associations between indicators of medicalization (cesarean, instrumental vaginal birth [IVB], episiotomy, fundal pressure) and proxy variables related to care culture and contextual factors at the individual and country level. Results: Among 27 173 women, 24.4% (n = 6650) had a cesarean and 8.8% (n = 2380) an IVB. Among women with IVB, 41.9% (n = 998) reported receiving fundal pressure. Among women with spontaneous vaginal births, 22.3% (n = 4048) had an episiotomy. Less respectful care, as perceived by the women, was associated with higher levels of medicalization. For example, women who reported having a cesarean, IVB, or episiotomy reported not feeling treated with dignity more frequently than women who did not have those interventions (odds ratio [OR] 1.37; OR 1.61; OR 1.51, respectively; all: P < 0.001). Country- level variables contributed to explaining some of the variance between countries. Conclusion: We recommend a greater emphasis in health policies on promotion of respectful and patient- centered care approaches to birth to enhance women's experiences of care, and the development of a European- level indicator to monitor medicalization of reproductive care.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationMiani, C., Wandschneider, L., Batram-Zantvoort, S.,[...], Barata, C., et al. (2022). Individual and country-level variables associated with the medicalization of birth: Multilevel analyses of IMAgiNE EURO data from 15 countries in the WHO European region. International Journal of Gynecology and Obstetrics, 159 (Suppl. 1), pp. 9-21. doi:10.1002/ijgo.14459pt_PT
dc.identifier.doi10.1002/ijgo.14459pt_PT
dc.identifier.issn0020-7292
dc.identifier.urihttp://hdl.handle.net/10451/55673
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.relationImagine Europt_PT
dc.relation.publisherversionhttps://obgyn.onlinelibrary.wiley.com/doi/full/10.1002/ijgo.14459pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectBirthpt_PT
dc.subjectCesareanpt_PT
dc.subjectEpisiotomypt_PT
dc.subjectEuropept_PT
dc.subjectGender equalitypt_PT
dc.subjectIMAgiNE EUROpt_PT
dc.subjectMedicalizationpt_PT
dc.subjectMdwiferypt_PT
dc.subjectRespectful maternity carept_PT
dc.titleIndividual and country‐level variables associated with the medicalization of birth: Multilevel analyses of IMAgiNE EURO data from 15 countries in the WHO European regionpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage21pt_PT
oaire.citation.issueS1pt_PT
oaire.citation.startPage9pt_PT
oaire.citation.titleInternational Journal of Gynecology & Obstetricspt_PT
oaire.citation.volume159pt_PT
person.familyNameBarata
person.givenNameCatarina
person.identifier.ciencia-idAD1E-446D-9816
person.identifier.orcid0000-0002-6478-8007
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationb32b650a-e933-4e17-b22f-188125a78f29
relation.isAuthorOfPublication.latestForDiscoveryb32b650a-e933-4e17-b22f-188125a78f29

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