Do provider birth attitudes influence cesarean delivery rate: a cross-sectional study

Table 2 Adjusted^a Associations between Attitude Scores and Provider NTSV CS Rate^b

Domain	Incidence Rate Ratio^c	95% CI	p-value
Fetal Monitoring	1.01	0.94–1.10	0.71
Benefits of CS	1.07	0.99–1.17	0.10
Fear of Vaginal Birth	1.08	0.99–1.17	0.09
Measures to Decrease CS^d	0.91	0.77–1.08	0.28
Maternal Role in Birth^d	0.93	0.85–1.02	0.14
Safety by Place or Mode of Birth	1.12	0.97–1.30	0.14
Composite Scale	1.21	1.002–1.45	0.048

Abbreviations: NTSV CS nulliparous, term, singleton, vertex cesarean section, CS cesarean section, CI confidence interval
^aResults are from individual Poisson regression models of the NTSV cesarean outcome, with one model for each row, with that variable the focal predictor and with additional covariates used to adjust for gender, experience level, geographic location of practice, primary hospital’s NTSV cesarean rate calculated without the individual provider’s contribution
^bOnly includes providers with confirmed privileges to perform cesarean sections who had at least 20 NTSV births over the two-year study period of 2013–2014
^cHigher scores indicate attitudes more favorable toward cesarean section except for the two reverse-coded scales (as below)
^dHigher scores indicate attitudes more favorable toward vaginal birth on these scales

ISSN: 1471-2393