What is underneath the cesarean request?

In the Nordic countries, where there is a real pursuit to keep cesarean section rates at a relatively low level, the efforts to align maternity care to the needs of women reflect a unique approach among high-income countries. Electively performed cesarean section due to fear of childbirth is one example of this increased attention. The antenatal counseling services' primary aim is the promotion of a positive childbirth experience, regardless of mode of delivery. It is very likely, however, that even a fulfilled request for cesarean section is not enough to ensure a positive birth experience. Therefore, a maternal request for cesarean delivery should first be interpreted as a sign of increased maternal vulnerability rather than a need that should be met unconditionally.