Individual and country-level variables associated with the medicalization of birth
Miani C, Wandschneider L, Batram-Zantvoort S, Covi B, Elden H, Nedberg IH, Drglin Z, Pumpere E, Costa R, Lazzerini M (2022)
In: 15th European Public Health Conference Strengthening health systems: improving population health and being prepared for the unexpected Berlin, Germany 9–12 November 2022 . European Journal of Public Health , 32(Suppl. 3). Oxford: Oxford University Press.
Kurzbeitrag Konferenz / Poster
| Veröffentlicht | Englisch
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Autor*in
Miani, CélineUniBi;
Wandschneider, LisaUniBi;
Batram-Zantvoort, StephanieUniBi
;
Covi, B.;
Elden, H.;
Nedberg, I. Hersoug;
Drglin, Z.;
Pumpere, E.;
Costa, R.;
Lazzerini, M.
![](https://pub.uni-bielefeld.de/images/icon_orcid.png)
Einrichtung
Abstract / Bemerkung
Introduction
According to the World Health Organization, the medicalisation of birth tends “to undermine the woman's own capability to give birth and negatively impacts her childbirth experience”. The COVID-19 pandemic has disrupted maternity care, with potential increase in the medicalisation of birth and in occurrences of disrespectful maternity care. We aim to investigate potential associations between individual and country-level factors and medicalisation of birth in 15 European countries during the COVID-19 pandemic.
Methods
We collected data through an online, anonymous survey for women who gave birth in 2020-2021. We ran multivariable, multi-level logistic regression models estimating associations between indicators of medicalisation (caesarean section (CS), 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 27173 women, 24.4% had a CS, and 8.8% an IVB. Among women with IVB, 41.9% reported receiving fundal pressure. Among women with spontaneous vaginal births, 22.3% had an episiotomy. Less respectful care, as perceived by the women, was associated with higher levels of medicalisation. For example, women who reported having CS, IVB and episiotomy reported not feeling treated with dignity more frequently than women who didn't have those interventions (respectively: OR: 1.37; OR: 1.61; OR: 1.51; all: p < 0.001). Country-level variables contributed to explaining some of the variance between countries.
Conclusions
We recommend a greater emphasis in health policies on the 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 the medicalisation of reproductive care.
Erscheinungsjahr
2022
Titel des Konferenzbandes
15th European Public Health Conference Strengthening health systems: improving population health and being prepared for the unexpected Berlin, Germany 9–12 November 2022
Serien- oder Zeitschriftentitel
European Journal of Public Health
Band
32
Ausgabe
Suppl. 3
Art.-Nr.
ckac129.191
ISSN
1101-1262
eISSN
1464-360X
Page URI
https://pub.uni-bielefeld.de/record/2969536
Zitieren
Miani C, Wandschneider L, Batram-Zantvoort S, et al. Individual and country-level variables associated with the medicalization of birth. In: 15th European Public Health Conference Strengthening health systems: improving population health and being prepared for the unexpected Berlin, Germany 9–12 November 2022 . European Journal of Public Health . Vol 32. Oxford: Oxford University Press; 2022.
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. 15th European Public Health Conference Strengthening health systems: improving population health and being prepared for the unexpected Berlin, Germany 9–12 November 2022 , European Journal of Public Health , 32 Oxford: Oxford University Press. https://doi.org/10.1093/eurpub/ckac129.191
Miani, Céline, Wandschneider, Lisa, Batram-Zantvoort, Stephanie, Covi, B., Elden, H., Nedberg, I. Hersoug, Drglin, Z., Pumpere, E., Costa, R., and Lazzerini, M. 2022. “Individual and country-level variables associated with the medicalization of birth”. In 15th European Public Health Conference Strengthening health systems: improving population health and being prepared for the unexpected Berlin, Germany 9–12 November 2022 . Vol. 32. European Journal of Public Health . Oxford: Oxford University Press: ckac129.191.
Miani, C., Wandschneider, L., Batram-Zantvoort, S., Covi, B., Elden, H., Nedberg, I. H., Drglin, Z., Pumpere, E., Costa, R., and Lazzerini, M. (2022). “Individual and country-level variables associated with the medicalization of birth” in 15th European Public Health Conference Strengthening health systems: improving population health and being prepared for the unexpected Berlin, Germany 9–12 November 2022 European Journal of Public Health , vol. 32, (Oxford: Oxford University Press).
Miani, C., et al., 2022. Individual and country-level variables associated with the medicalization of birth. In 15th European Public Health Conference Strengthening health systems: improving population health and being prepared for the unexpected Berlin, Germany 9–12 November 2022 . European Journal of Public Health . no.32 Oxford: Oxford University Press.
C. Miani, et al., “Individual and country-level variables associated with the medicalization of birth”, 15th European Public Health Conference Strengthening health systems: improving population health and being prepared for the unexpected Berlin, Germany 9–12 November 2022 , European Journal of Public Health , vol. 32, Oxford: Oxford University Press, 2022.
Miani, C., Wandschneider, L., Batram-Zantvoort, S., Covi, B., Elden, H., Nedberg, I.H., Drglin, Z., Pumpere, E., Costa, R., Lazzerini, M.: Individual and country-level variables associated with the medicalization of birth. 15th European Public Health Conference Strengthening health systems: improving population health and being prepared for the unexpected Berlin, Germany 9–12 November 2022 . European Journal of Public Health . 32, Oxford University Press, Oxford (2022).
Miani, Céline, Wandschneider, Lisa, Batram-Zantvoort, Stephanie, Covi, B., Elden, H., Nedberg, I. Hersoug, Drglin, Z., Pumpere, E., Costa, R., and Lazzerini, M. “Individual and country-level variables associated with the medicalization of birth”. 15th European Public Health Conference Strengthening health systems: improving population health and being prepared for the unexpected Berlin, Germany 9–12 November 2022 . Oxford: Oxford University Press, 2022.Vol. 32. European Journal of Public Health .
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