Relationship between obstetricians’ cognitive and affective traits and delivery outcomes among women with a prior cesarean》.pdf

SMFM Papers Relationship between obstetricians’ cognitive and affective traits and delivery outcomes among women with a prior cesarean Lynn M. Yee, MD, MPH; Lilly Y. Liu, BA; William A. Grobman, MD, MBA OBJECTIVE: We sought to investigate the relationship between ob- and Need for Cognition (27.9% vs 21.5%; P ¼ .02) assessments, or stetricians’ cognitive traits and delivery outcomes among women with in the lowest quartile for anxiety assessment (28.0% vs 20.6%; P ¼ a prior cesarean delivery. .001). Similarly, those with high proactive coping (18.0% vs 11.3%; P ¼ .001), high MSTAT (16.6% vs 11.8%; P ¼ .03), and low anxiety STUDY DESIGN: A total of 94 obstetricians completed 5 standardized (19.2% vs 10.4%; P .001) had greater VBAC rates. Random ef- psychometric scales: Reflective Coping, Proactive Coping, Multiple fects regression analyses revealed physicians with high proactive Stimulus Types Ambiguity Tolerance (MSTAT), Need for Cognition, and coping remained significantly more likely to have patients undergo State-Trait Anxiety Inventory. Scores were analyzed by quartile. De- TOLAC (adjusted odds ratio, 1.86; 95% confidence interval, livery data were collected for primiparas with 1 prior low transverse 2 1.10e3.14) and those with low anxiety rema