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Cesarean delivery on maternal request: obstetrician-gynecologists' knowledge, perception, and practice patterns
Barbara A Bettes1, Victoria H Coleman, Stanley Zinberg
1Department of Research, The American College of Obstetricians and Gynecologists, Washington, DC 20024, USA.
Obstetrics and Gynecology
|January 2, 2007
Summary
Most obstetrician-gynecologists acknowledge rising demand for cesarean delivery on maternal request but believe risks outweigh benefits. Evidence is needed to guide policies on elective cesarean birth.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Surgical Procedures
Background:
- Cesarean delivery on maternal request (CDMR) is a growing concern.
- Understanding physician perspectives on CDMR is crucial for patient care and policy development.
Purpose of the Study:
- To assess obstetrician-gynecologists' knowledge, opinions, and practices regarding CDMR.
- To identify factors influencing their approach to maternal request for cesarean delivery.
Main Methods:
- A survey was distributed to 1,031 American College of Obstetricians and Gynecologists Fellows.
- The questionnaire collected data on demographics, attitudes, knowledge of risks/benefits, and policies related to CDMR.
Main Results:
- Approximately 50% of respondents believe in a woman's right to CDMR and have performed it.
- Most noted increased patient inquiries about CDMR, attributing it to media and convenience.
- Respondents perceive more risks than benefits and discuss these with patients.
Conclusions:
- Physicians recognize increased demand for CDMR but perceive risks as greater than benefits.
- There is a need for robust evidence on CDMR risks and benefits to inform clinical guidelines and policies.
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