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Elective caesarean section--the patient's choice?
1Department of Obstetrics and Gynaecology, UHW, Cardiff, UK.
Summary
Many women prefer elective caesarean sections to avoid birth trauma and prolonged labor. This study found 14.5% of women requested this delivery method for maternal and fetal well-being.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Reproductive Health
Background:
- Traditionally, elective caesarean sections on request for uncomplicated pregnancies were considered inappropriate.
- Previous research focused on healthcare professionals' preferences for delivery mode.
Purpose of the Study:
- To investigate the preferences of women regarding their mode of delivery in uncomplicated pregnancies.
- To understand the reasons behind women's choices for delivery, including elective caesarean sections.
Main Methods:
- A survey was conducted among 344 women attending a routine antenatal booking clinic.
- Participants were asked about their preferred mode of delivery and the rationale behind their choice.
Main Results:
- 14.5% of surveyed women opted for an elective caesarean section at 39 weeks' gestation.
- Key reasons cited included avoiding maternal trauma, preventing prolonged labor, and ensuring fetal well-being.
Conclusions:
- A significant minority of women desire elective caesarean sections for uncomplicated pregnancies.
- Potential benefits of caesarean sections and informed patient choice challenge the refusal of on-request procedures, potentially impacting caesarean section rates.