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Elective caesarean section--the patient's choice?

G J Edwards¹, N J Davies

¹Department of Obstetrics and Gynaecology, UHW, Cardiff, UK.

Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology

|January 11, 2003

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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:

Related Experiment Videos

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.