Individual and country‐level variables associated with the medicalization of birth: Multilevel analyses of data from 15 countries in the European region
Miani C, Wandschneider L, Batram-Zantvoort S, Covi B, Elden H, Nedberg IH, Drglin Z, Pumpure E, Costa R, Rozée V, Otelea M R, et al. (2022)
International Journal of Gynecology & Obstetrics 159(S1): 9-21.
Zeitschriftenaufsatz
| Veröffentlicht | Englisch
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Autor*in
Miani, CélineUniBi;
Wandschneider, LisaUniBi;
Batram-Zantvoort, StephanieUniBi 
;
Covi, Benedetta;
Elden, Helen;
Nedberg, Ingvild Hersoug;
Drglin, Zalka;
Pumpure, Elizabete;
Costa, Raquel;
Rozée, Virginie;
Otelea, Marina Ruxandra;
Drandić, Daniela
Alle
;
Covi, Benedetta;
Elden, Helen;
Nedberg, Ingvild Hersoug;
Drglin, Zalka;
Pumpure, Elizabete;
Costa, Raquel;
Rozée, Virginie;
Otelea, Marina Ruxandra;
Drandić, Daniela
Alle
Einrichtung
Abstract / Bemerkung
Objective: To investigate potential associations between individual and country- level fac-tors 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 in-dicators of medicalization (cesarean, instrumental vaginal birth [IVB], episiotomy, fundal pressure) and proxy variables related to care culture and contextual factors at the indi-vidual 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 expe-riences of care, and the development of a European- level indicator to monitor medicali-zation of reproductive care
Stichworte
birth;
cesarean;
episiotomy;
Europe;
gender equality;
IMAgiNE EURO;
medicalization;
midwifery;
respectful maternity care
Erscheinungsjahr
2022
Zeitschriftentitel
International Journal of Gynecology & Obstetrics
Band
159
Ausgabe
S1
Seite(n)
9-21
Urheberrecht / Lizenzen
ISSN
0020-7292
eISSN
1879-3479
Finanzierungs-Informationen
Open-Access-Publikationskosten wurden durch die Universität Bielefeld im Rahmen des DEAL-Vertrags gefördert.
Page URI
https://pub.uni-bielefeld.de/record/2967687
Zitieren
Miani C, Wandschneider L, Batram-Zantvoort S, et al. Individual and country‐level variables associated with the medicalization of birth: Multilevel analyses of data from 15 countries in the European region. International Journal of Gynecology & Obstetrics. 2022;159(S1):9-21.
Miani, C., Wandschneider, L., Batram-Zantvoort, S., Covi, B., Elden, H., Nedberg, I. H., Drglin, Z., et al. (2022). Individual and country‐level variables associated with the medicalization of birth: Multilevel analyses of data from 15 countries in the European region. International Journal of Gynecology & Obstetrics, 159(S1), 9-21. https://doi.org/10.1002/ijgo.14459
Miani, Céline, Wandschneider, Lisa, Batram-Zantvoort, Stephanie, Covi, Benedetta, Elden, Helen, Nedberg, Ingvild Hersoug, Drglin, Zalka, et al. 2022. “Individual and country‐level variables associated with the medicalization of birth: Multilevel analyses of data from 15 countries in the European region”. International Journal of Gynecology & Obstetrics 159 (S1): 9-21.
Miani, C., Wandschneider, L., Batram-Zantvoort, S., Covi, B., Elden, H., Nedberg, I. H., Drglin, Z., Pumpure, E., Costa, R., Rozée, V., et al. (2022). Individual and country‐level variables associated with the medicalization of birth: Multilevel analyses of data from 15 countries in the European region. International Journal of Gynecology & Obstetrics 159, 9-21.
Miani, C., et al., 2022. Individual and country‐level variables associated with the medicalization of birth: Multilevel analyses of data from 15 countries in the European region. International Journal of Gynecology & Obstetrics, 159(S1), p 9-21.
C. Miani, et al., “Individual and country‐level variables associated with the medicalization of birth: Multilevel analyses of data from 15 countries in the European region”, International Journal of Gynecology & Obstetrics, vol. 159, 2022, pp. 9-21.
Miani, C., Wandschneider, L., Batram-Zantvoort, S., Covi, B., Elden, H., Nedberg, I.H., Drglin, Z., Pumpure, E., Costa, R., Rozée, V., Otelea, M. R., Drandić, D., Radetic, J., Abderhalden‐Zellweger, A., Ćerimagić, A., Arendt, M., Mariani, I., Linden, K., Ponikvar, B.M., Jakovicka, D., Dias, H., Ruzicic, J., de Labrusse, C., Valente, E.P., Zaigham, M., Bohinec, A., Rezeberga, D., Barata, C., Pfund, A., Sacks, E., Lazzerini, M., Ćerimagić, A., Drandić Roda, D., Kurbanović, M., Virginie, R., de La Rochebrochard, E., Löfgren, K., Miani, C., Batram Zantvoort, S., Wandschneider, L., Lazzerini, M., Valente, E.P., Covi, B., Mariani, I., Morano, S., Chertok, I., Hefer, E., Artzi‐Medvedik, R., Pumpure, E., Rezeberga, D., Jansone‐Šantare, G., Jakovicka, D., Knoka, A.R., Vilcāne, K.P., Liepinaitienė, A., Kondrakova, A., Mizgaitienė, M., Juciūtė, S., Arendt, M., Tasch, B., Nedberg, I.H., Kongslien, S., Vik, E.S., Baranowska, B., Tataj‐Puzyna, U., Węgrzynowska, M., Costa, R., Barata, C., Santos, T., Rodrigues, C., Dias, H., Otelea, M.R., Radetić, J., Ružičić, J., Drglin, Z., Ponikvar, B.M., Bohinec, A., Brigidi, S., Castañeda, L.M., Elden, H., Sengpiel, V., Linden, K., Zaigham, M., De Labrusse, C., Abderhalden, A., Pfund, A., Thorn, H., Grylka, S., Gemperle, M., Mueller, A.: Individual and country‐level variables associated with the medicalization of birth: Multilevel analyses of data from 15 countries in the European region. International Journal of Gynecology & Obstetrics. 159, 9-21 (2022).
Miani, Céline, Wandschneider, Lisa, Batram-Zantvoort, Stephanie, Covi, Benedetta, Elden, Helen, Nedberg, Ingvild Hersoug, Drglin, Zalka, Pumpure, Elizabete, Costa, Raquel, Rozée, Virginie, Otelea, Marina Ruxandra, Drandić, Daniela, Radetic, Jelena, Abderhalden‐Zellweger, Alessia, Ćerimagić, Amira, Arendt, Maryse, Mariani, Ilaria, Linden, Karolina, Ponikvar, Barbara Mihevc, Jakovicka, Dārta, Dias, Heloisa, Ruzicic, Jovana, de Labrusse, Claire, Valente, Emanuelle Pessa, Zaigham, Mehreen, Bohinec, Anja, Rezeberga, Dace, Barata, Catarina, Pfund, Anouk, Sacks, Emma, Lazzerini, Marzia, Ćerimagić, Amira, Drandić Roda, Daniela, Kurbanović, Magdalena, Virginie, Rozée, de La Rochebrochard, Elise, Löfgren, Kristina, Miani, Céline, Batram Zantvoort, Stephanie, Wandschneider, Lisa, Lazzerini, Marzia, Valente, Emanuelle Pessa, Covi, Benedetta, Mariani, Ilaria, Morano, Sandra, Chertok, Ilana, Hefer, Emek, Artzi‐Medvedik, Rada, Pumpure, Elizabete, Rezeberga, Dace, Jansone‐Šantare, Gita, Jakovicka, Dārta, Knoka, Anna Regīna, Vilcāne, Katrīna Paula, Liepinaitienė, Alina, Kondrakova, Andželika, Mizgaitienė, Marija, Juciūtė, Simona, Arendt, Maryse, Tasch, Barbara, Nedberg, Ingvild Hersoug, Kongslien, Sigrun, Vik, Eline Skirnisdottir, Baranowska, Barbara, Tataj‐Puzyna, Urszula, Węgrzynowska, Maria, Costa, Raquel, Barata, Catarina, Santos, Teresa, Rodrigues, Carina, Dias, Heloísa, Otelea, Marina Ruxandra, Radetić, Jelena, Ružičić, Jovana, Drglin, Zalka, Ponikvar, Barbara Mihevc, Bohinec, Anja, Brigidi, Serena, Castañeda, Lara Martín, Elden, Helen, Sengpiel, Verena, Linden, Karolina, Zaigham, Mehreen, De Labrusse, Claire, Abderhalden, Alessia, Pfund, Anouck, Thorn, Harriet, Grylka, Susanne, Gemperle, Michael, and Mueller, Antonia. “Individual and country‐level variables associated with the medicalization of birth: Multilevel analyses of data from 15 countries in the European region”. International Journal of Gynecology & Obstetrics 159.S1 (2022): 9-21.
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