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Related Experiment Video

Updated: Jul 18, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
08:49

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Published on: June 6, 2020

Cesarean section on request in a developing country.

C O Chigbu1, I V Ezeome, G C Iloabachie

  • 1Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Enugu, Nigeria. chchigbu@yahoo.com

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|December 26, 2006
PubMed
Summary

In a developing country, 4.4% of cesarean sections (CSs) were requested by women, often due to infertility or advanced maternal age. These women viewed CS as the safest delivery method, though many preferred vaginal birth later.

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Area of Science:

  • Obstetrics and Gynecology
  • Reproductive Health
  • Global Health

Background:

  • Cesarean section (CS) rates are rising globally, with varying reasons for requests.
  • Understanding maternal motivations for CS is crucial, especially in developing countries.

Purpose of the Study:

  • To determine the prevalence of women-requested cesarean sections (CSs).
  • To identify the primary reasons women in a developing country opt for elective CS.
  • To compare these reasons with those reported in developed nations.

Main Methods:

  • Interviews with pregnant women scheduled for elective CS.
  • Questionnaires administered pre-surgery and 6 weeks postpartum.
  • Analysis of women's stated reasons for requesting CS.

Main Results:

  • Cesarean section on request accounted for 4.4% of procedures.
  • Key motivators included prior infertility and advanced maternal age at first birth.
  • A majority expressed a preference for vaginal delivery in future pregnancies.

Conclusions:

  • Reasons for requesting CS in this population differ from those in developed countries.
  • The belief that CS ensures a live birth was a significant factor in maternal requests.
  • Maternal perceptions of delivery safety heavily influence CS choices in this setting.