Pregnant womeńs views on the timing of prophylactic antibiotics during caesarean delivery: A qualitative semi-structured interview study
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Pregnant womeńs views on the timing of prophylactic antibiotics during caesarean delivery : A qualitative semi-structured interview study. / Høgh-Poulsen, Sidsel; Bendix, Jane M.; Larsen, Maria Mieskiewicz; Virkus, Rie Adser; Andersen, Anne Dsane; Clausen, Tine Dalsgaard; Løkkegaard, Ellen Christine Leth; Axelsson, Paul Bryde.
I: European Journal of Obstetrics and Gynecology and Reproductive Biology, Bind 264, 09.2021, s. 65-69.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Pregnant womeńs views on the timing of prophylactic antibiotics during caesarean delivery
T2 - A qualitative semi-structured interview study
AU - Høgh-Poulsen, Sidsel
AU - Bendix, Jane M.
AU - Larsen, Maria Mieskiewicz
AU - Virkus, Rie Adser
AU - Andersen, Anne Dsane
AU - Clausen, Tine Dalsgaard
AU - Løkkegaard, Ellen Christine Leth
AU - Axelsson, Paul Bryde
N1 - Publisher Copyright: © 2021 Elsevier B.V.
PY - 2021/9
Y1 - 2021/9
N2 - Objective: To gain insight into pregnant women's preferences if given a choice between getting antibiotic prophylaxis before or after cord clamping during caesarean delivery. Study design: A qualitative semi-structured interview-study. The interviews were conducted at a Danish Hospital, with about 4000 deliveries a year. Fourteen individual semi-structured interviews were conducted with pregnant women, either considering or having a planned caesarean section, or scheduled for induction due to post-term gestational age. A systematic text condensation approach was used to analyze the transcribed interviews. Results: Ten of the fourteen women favored antibiotic administration after cord clamping. Despite any adverse effects to the infant's microbiota and increased risk of long-term health outcomes were only hypothetical and the risk reduction in postpartum infections being well documented, they did not want to expose their offspring to antibiotics. Those who preferred antibiotic prophylaxis before cord clamping were concerned, if they would be able to care for the infant in case of a maternal infection. Three of the women preferring antibiotics after cord clamping said they would potentially change preference, if the maternal risk was higher. Most women preferred to be informed of the use of prophylactic antibiotic and that the timing has consequences for trans-placental exposure to the infant. Conclusions: With most of the interviewed women preferring antibiotic administration after cord clamping, we suggest patients should be involved in the decision regarding timing of prophylactic antibiotics before caesarean section.
AB - Objective: To gain insight into pregnant women's preferences if given a choice between getting antibiotic prophylaxis before or after cord clamping during caesarean delivery. Study design: A qualitative semi-structured interview-study. The interviews were conducted at a Danish Hospital, with about 4000 deliveries a year. Fourteen individual semi-structured interviews were conducted with pregnant women, either considering or having a planned caesarean section, or scheduled for induction due to post-term gestational age. A systematic text condensation approach was used to analyze the transcribed interviews. Results: Ten of the fourteen women favored antibiotic administration after cord clamping. Despite any adverse effects to the infant's microbiota and increased risk of long-term health outcomes were only hypothetical and the risk reduction in postpartum infections being well documented, they did not want to expose their offspring to antibiotics. Those who preferred antibiotic prophylaxis before cord clamping were concerned, if they would be able to care for the infant in case of a maternal infection. Three of the women preferring antibiotics after cord clamping said they would potentially change preference, if the maternal risk was higher. Most women preferred to be informed of the use of prophylactic antibiotic and that the timing has consequences for trans-placental exposure to the infant. Conclusions: With most of the interviewed women preferring antibiotic administration after cord clamping, we suggest patients should be involved in the decision regarding timing of prophylactic antibiotics before caesarean section.
KW - Antibiotic prophylaxis
KW - Cesarean section
KW - Patient acceptance of health care
KW - Qualitative research
U2 - 10.1016/j.ejogrb.2021.07.016
DO - 10.1016/j.ejogrb.2021.07.016
M3 - Journal article
C2 - 34273755
AN - SCOPUS:85109935296
VL - 264
SP - 65
EP - 69
JO - European Journal of Obstetrics, Gynecology and Reproductive Biology
JF - European Journal of Obstetrics, Gynecology and Reproductive Biology
SN - 0301-2115
ER -
ID: 285510210