Abstract
BackgroundYouTube is one of the most popular open-access video-sharing websites, and it is also used to obtain health care information. Cesarean delivery is the most common major surgical intervention in many countries. Videos related to cesarean delivery have also been uploaded to YouTube. However, no study has explored the overall quality of cesarean delivery videos on the platform.ObjectiveThe objective of this study was to analyze the content and evaluate the quality of the most frequently viewed videos related to cesarean delivery that are accessible on YouTube.MethodsWe searched for a total of 18 terms by combining the 6 terms retrieved from Google AdWords and the 3 terms c section, cesarean section, and cesarean delivery, which are used interchangeably. Videos were sorted by view count, and the 100 videos with the highest view counts were chosen. The number of views, duration, likes and dislikes, content type, and source of each video were recorded. In evaluating the quality of the videos, we referred to a previous study. Additionally, we developed a detailed scoring method that comprehensively evaluates the videos related to cesarean delivery by including the necessary information for each element of the cesarean delivery and whether scientific evidence was presented.ResultsOf the 100 videos analyzed, the most prevalent content (n=28) was videos that contained the actual surgical procedure of a cesarean delivery, and the most common source of cesarean delivery videos was physicians (n=30). Videos directly related to cesarean delivery, such as explanation of the surgery and the actual surgical procedure, were mainly uploaded by medical groups and scored higher than the videos indirectly related to cesarean delivery, which were mainly uploaded by nonmedical groups. In addition, videos directly related to cesarean delivery were more often uploaded earlier in time, with lower like ratios compared to indirect videos.ConclusionsYouTube is currently not an appropriate source for patients seeking information on cesarean delivery.
Highlights
Cesarean delivery is the most common surgical intervention in many countries [1]
Videos directly related to cesarean delivery, such as explanation of the surgery and the actual surgical procedure, were mainly uploaded by medical groups and scored higher than the videos indirectly related to cesarean delivery, which were mainly uploaded by nonmedical groups
Videos directly related to cesarean delivery were more often uploaded earlier in time, with lower like ratios compared to indirect videos
Summary
Cesarean delivery is the most common surgical intervention in many countries [1]. Based on data from 169 countries, 29.7 million births worldwide were estimated to be by cesarean delivery in 2015, which was almost double the number of births in 2000 (16 million) [2]. The rate of cesarean delivery due to maternal requests has increased to 8% due to fear of labor pain, anxiety about fetal injury, urinary incontinence, or pelvic floor dysfunction [4]. The fear of litigation among physicians has played a role in the increase in cesarean delivery rates. It is important for patients to obtain accurate information about cesarean delivery based on scientific evidence. Cesarean delivery is the most common major surgical intervention in many countries. No study has explored the overall quality of cesarean delivery videos on the platform
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