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Correction: Midwives’ and obstetricians’ perspectives about pregnancy related weight management in Ethiopia: A qualitative study
[This corrects the article DOI: 10.1371/journal.pone.0244221.].
Journal Article
Obstetricians' views on extending the 12-week abortion limit in Belgium: A qualitative study
This study explores the views of obstetricians on a potential extension of the 12-week limit on elective abortion in Belgium. It aims to investigate perspectives from a distinct group of providers who already have experience with later abortion, albeit provided on medical grounds. These insights could help identify and navigate perceived challenges and opportunities of extending the abortion time limit. We conducted semi-structured qualitative interviews with 23 hospital obstetricians who are involved in abortion on medical grounds in Flanders, Belgium. We coded and thematically analyzed interview transcripts with NVivo software. We discerned three major themes in obstetricians' views: 1) Concerns about later abortion techniques; 2) Psychosocial hardships justifying later abortion; and 3) Fetal viability and feticide considerations. Minor themes are: 4) Limited impact on abortion for fetal anomaly; 5) Abortion travel and associated harms; and 6) Sex-selective abortion. Flemish hospital obstetricians highlight both moral and technical challenges associated with extending the abortion time limit, primarily relating to surgical abortion methods and the organization of care. This study finds that, if an extended limit were to be adopted, additional policies and safeguards would facilitate implementation and foster interest among obstetricians in providing services. These include education and technical training of providers in later abortion care, centralization of provision, appropriate facilities, prepared teams, value workshops, and adequate state financing.
Journal Article
Obstetricians' views on extending the 12-week abortion limit in Belgium: A qualitative study
This study explores the views of obstetricians on a potential extension of the 12-week limit on elective abortion in Belgium. It aims to investigate perspectives from a distinct group of providers who already have experience with later abortion, albeit provided on medical grounds. These insights could help identify and navigate perceived challenges and opportunities of extending the abortion time limit. We conducted semi-structured qualitative interviews with 23 hospital obstetricians who are involved in abortion on medical grounds in Flanders, Belgium. We coded and thematically analyzed interview transcripts with NVivo software. We discerned three major themes in obstetricians' views: 1) Concerns about later abortion techniques; 2) Psychosocial hardships justifying later abortion; and 3) Fetal viability and feticide considerations. Minor themes are: 4) Limited impact on abortion for fetal anomaly; 5) Abortion travel and associated harms; and 6) Sex-selective abortion. Flemish hospital obstetricians highlight both moral and technical challenges associated with extending the abortion time limit, primarily relating to surgical abortion methods and the organization of care. This study finds that, if an extended limit were to be adopted, additional policies and safeguards would facilitate implementation and foster interest among obstetricians in providing services. These include education and technical training of providers in later abortion care, centralization of provision, appropriate facilities, prepared teams, value workshops, and adequate state financing.
Journal Article
Characteristics of hospital pediatricians and obstetricians/gynecologists working long hours in Tokushima, Japan: A cross-sectional study
This study aimed to determine the actual working conditions, including working hours and desired future working styles of hospital pediatricians and obstetricians/gynecologists (OB/GYNs) in Tokushima Prefecture. This cross-sectional study used a self-administered questionnaire. Pediatricians and OB/GYNs (n = 96) working at 14 hospitals in Tokushima Prefecture were surveyed. The questionnaire included items related to working hours, working status, number of medical institutions, task-shifting/task-sharing status, and preferred work style. Factors associated with work hours were analyzed. Approximately 40% and 10% of pediatricians and OB/GYNs worked [greater than or equal to]60 h/week and [greater than or equal to]80 h/week, respectively. Their weekly working hours were significantly positively associated with the number of nights and holidays worked and concurrent medical facilities they worked at. Multiple regression models showed that weekly working hours were significantly associated with working at night and day-off duties and the number of working medical institutions being worked at concurrently. Pediatricians and OB/GYNs who worked [greater than or equal to]60 h/week were not implementing a \"multiple attending physician system\" or \"on-call system,\" and task-shifting/task-sharing was inadequate. A significantly higher proportion of physicians who worked long hours ([greater than or equal to]60 h/week or [greater than or equal to]80 h/week) wanted to reduce the number of night and day-off duties and work hours compared with those who did not. The results of this study suggest that many pediatricians and OB/GYNs work long hours, and it is essential to improve their work environment, including task-shifting/task-sharing. Further enhanced recruitment and retention of hospital pediatricians and OB/GYNs is required. A detailed and large-scale study of pediatricians and OB/GYNs' working environments is essential in the future.
Journal Article
Characteristics of hospital pediatricians and obstetricians/gynecologists working long hours in Tokushima, Japan: A cross-sectional study
This study aimed to determine the actual working conditions, including working hours and desired future working styles of hospital pediatricians and obstetricians/gynecologists (OB/GYNs) in Tokushima Prefecture. This cross-sectional study used a self-administered questionnaire. Pediatricians and OB/GYNs (n = 96) working at 14 hospitals in Tokushima Prefecture were surveyed. The questionnaire included items related to working hours, working status, number of medical institutions, task-shifting/task-sharing status, and preferred work style. Factors associated with work hours were analyzed. Approximately 40% and 10% of pediatricians and OB/GYNs worked [greater than or equal to]60 h/week and [greater than or equal to]80 h/week, respectively. Their weekly working hours were significantly positively associated with the number of nights and holidays worked and concurrent medical facilities they worked at. Multiple regression models showed that weekly working hours were significantly associated with working at night and day-off duties and the number of working medical institutions being worked at concurrently. Pediatricians and OB/GYNs who worked [greater than or equal to]60 h/week were not implementing a \"multiple attending physician system\" or \"on-call system,\" and task-shifting/task-sharing was inadequate. A significantly higher proportion of physicians who worked long hours ([greater than or equal to]60 h/week or [greater than or equal to]80 h/week) wanted to reduce the number of night and day-off duties and work hours compared with those who did not. The results of this study suggest that many pediatricians and OB/GYNs work long hours, and it is essential to improve their work environment, including task-shifting/task-sharing. Further enhanced recruitment and retention of hospital pediatricians and OB/GYNs is required. A detailed and large-scale study of pediatricians and OB/GYNs' working environments is essential in the future.
Journal Article
Attitudes and beliefs regarding umbilical cord clamping among midwives, obstetricians, and neonatologists in Sweden: A national cross-sectional survey
The study aimed to explore attitudes and beliefs among midwives, obstetricians, and neonatologists regarding umbilical cord clamping practices, including scenarios involving neonatal compromise. The study was conducted in the context of exploring the potential for implementing intact cord resuscitation. A national cross-sectional survey was administered electronically, using an adaptation of the previously used questionnaire developed by Jelin et al. The survey was conducted among midwives, nursing staff, obstetricians, and pediatricians/neonatologists from September 2022 to August 2023. Results were analyzed and reported using descriptive and inferential statistics. Of 838 respondents analyzed, 94% reported cord clamping timing being \"very or moderately important\" for neonatal outcomes, where midwives more frequently chose \"very important\" compared to physicians (p < 0.001). Midwives commonly preferred an event-based (e.g., cessation of pulsations) approach to cord clamping. In scenarios involving resuscitation, 27% of midwives and 10% of pediatric physicians, preferred an event-based approach to cord clamping, with a significant difference between groups (p = 0.005). Among obstetricians, 28.8% reported considering an event-based approach to cord clamping in elective cesarean sections. In resuscitation scenarios, obstetricians predominantly selected < 30 s as the preferred timing for cord clamping, whereas pediatric physicians were less likely to do so (p < 0.001). Timing of cord clamping is considered important among respondents. The study reveals a generally positive attitude towards delayed cord clamping among health care professionals in Sweden, with notable variations between professional groups. The interprofessional differences highlight the need for shared guidelines and collaborative training to support the potential implementation of intact cord resuscitation.
Journal Article