Related Experiment Video
Updated: Jun 2, 2026
An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)
Published on: January 27, 2010
Characteristics of nulliparous women who would consider cesarean delivery on maternal request
Megan O Schimpf1, Paul K Tulikangas, David M O'Sullivan
1Department of Obstetrics and Gynecology, Division of Urogynecology, Hartford Hospital/University of Connecticut, Hartford, Connecticut, USA.
Introduction/Hypothesis:
To identify factors that influence nulliparous women to choose cesarean delivery on maternal request (CDMR).
Methods:
Nulliparous women at > or = 34 weeks completed a 76-item survey about concerns during labor, delivery and postpartum.
Results:
Mean age of the 294 respondents was 28.4 years (+/- 6.13 years SD) and mean gestational age was 35.4 weeks (+/- 2.8 weeks). Sixteen patients (5.4%) would request CDMR if offered. Women who would request CDMR were more likely to plan breastfeeding (OR 5.1, P=0.02), have a mother who delivered by C-section (OR 5.1, P= 0.01), and be concerned about the number of family members present (OR 1.75, P=0.002). Pelvic muscle damage, urinary incontinence, fecal incontinence, or need for prolapse surgery were notcited by any patient as her top concern.
Conclusions:
Few women in our sample desire CDMR. Concern for pelvic-floor problems was low.
Related Concept Videos
01:28Development of the Oral Microbiota
01:20Pathophysiology of Diabetes
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility, suggesting a...
01:29Local Anesthetics: Clinical Application as Epidural Anesthesia
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...