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Maternal request for caesarean section: is it obstetrician driven?

L. Montgomery Irvine

    Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology
    |January 11, 2003
    PubMed
    Summary
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    Maternal request for elective caesarean sections are patient-driven, not obstetrician-led. Most obstetricians surveyed reported an increase in caesarean section rates due to patient demand.

    Area of Science:

    • Obstetrics and Gynecology
    • Maternal Health
    • Surgical Procedures

    Background:

    • Elective caesarean sections are increasingly common.
    • The driving force behind maternal requests for caesarean sections requires investigation.
    • Understanding the influence of patient versus clinician factors is crucial for obstetric practice.

    Purpose of the Study:

    • To determine if maternal requests for elective caesarean sections are truly patient-initiated or influenced by obstetricians.
    • To assess the impact of patient demand on caesarean section rates.

    Main Methods:

    • A postal questionnaire was distributed to obstetric consultants in the North Thames Region.
    • 134 consultants responded, providing data on their practices and perceptions regarding elective caesarean sections.

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  • The questionnaire focused on the influence of maternal request and the management of selected cases.

    • Main Results:

    • Only 0.8% of consultants offered elective caesarean sections to all women.
    • All respondents recommended a trial of scar in selected cases.
    • A significant majority (61.9%) of consultants reported an increase in caesarean section rates attributed to maternal requests.

    Conclusions:

    • Maternal requests for caesarean sections appear to be primarily patient-driven rather than obstetrician-led.
    • The findings suggest that patient demand is a significant factor contributing to the rise in caesarean section rates.
    • Further research may explore the underlying reasons for increased patient demand for caesarean sections.