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Related Experiment Videos

Women's views on elective primary caesarean section.

Susan Pakenham1, Susan M Chamberlain1, Graeme N Smith1

  • 1Department of Obstetrics & Gynaecology, Queen's University, Kingston ON.

Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|December 16, 2006
PubMed
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Most women do not request elective primary Caesarean sections (EPCS), but many believe women should have the option. Perceived risks of vaginal birth drive EPCS requests, while concerns for baby and future pregnancies influence decisions to decline.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Reproductive Health

Background:

  • Elective primary Caesarean section (EPCS) is increasingly common.
  • Public and medical opinions on EPCS are polarized.
  • Understanding women's choices regarding mode of delivery is crucial.

Purpose of the Study:

  • To determine nulliparous and multiparous women's opinions on EPCS.
  • To assess women's choices regarding mode of delivery.
  • To identify factors influencing decisions for or against EPCS.

Main Methods:

  • Confidential survey of women attending antenatal clinics.
  • Data collected on demographics and previous delivery modes.
  • Questionnaire assessed opinions on offering and choosing EPCS, and influencing factors.

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Main Results:

  • 13% of nulliparas and 5% of multiparas would choose EPCS.
  • 51% of nulliparas and 28% of multiparas believed EPCS should be offered to all.
  • Perceived risks of vaginal delivery were key reasons for requesting EPCS; risks to baby/future pregnancies were key reasons for declining.

Conclusions:

  • The majority of surveyed women would not request EPCS.
  • A significant proportion of women believe the option of EPCS should be available.
  • Factors influencing choice vary between nulliparous and multiparous women.