Cesarean Section On Maternal Request

Cesarean section on maternal request is defined as a primary meaning first cesarean delivery on request in the absence of any medical or obstetric indication.

Cesarean section on maternal request. Cesarean delivery on maternal request is defined as a primary cesarean delivery on maternal request in the absence of any maternal or fetal indications. Behind a maternal request for a planned cesarean section are various rationales and life experiences needing carefully targeted attention and health care. The first caesarean section rate published was 6 in the usa in 1937 over the last few decades.

For women requesting a caesarean section if after discussion and offer of support a vaginal birth is still not an acceptable option trusts should offer a planned cesarean section yet our report showed that pregnant women in some regions who asked about the procedure were simply told to go elsewhere. The results of studies on the demographic reasons of maternal request for elective cesarean section were advanced maternal age parity occupation education maternal obesity family status decreasing level of religiosity household income number of living children and age at marriage. The available information that compared the risks and benefitsof cesarean delivery on maternal request and planned vaginal delivery does notprovide the basis for a recommendation for either mode of delivery.

Cesarean delivery rates in the united states are at the highest levels ever with more than 1 3 million cesarean deliveries 32 of all births performed in 2015 1. Caesarean delivery on maternal request is a caesarean section birth requested by the pregnant woman without a medical reason. Caesarean section on maternal request csmr sometimes described as prophylactic or patient choice demand caesarean section is carried out for singleton pregnancy in the absence of maternal or fetal indications.

Cesarean delivery on maternal request is not a well recognized clinical entity. When a woman who is requesting a caesarean section due to anxiety is given the opportunity to discuss this with someone who can answer their questions and understand their concerns in a supportive manner the anxieties can often be reduced to the point where the woman is able to choose a planned vaginal birth.