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Cesarean section by maternal request.

Raphael Câmara1, Marcelo Burlá2,3, José Ferrari4

  • 1- Institute of Gynecology, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.

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Summary

Cesarean section by maternal request, performed without medical need, carries risks like uterine rupture in future pregnancies. However, it may offer benefits such as reduced postpartum hemorrhage for the first birth.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Cesarean section by maternal request is controversial.
  • It is performed without medical indication or contraindication to vaginal delivery.

Purpose of the Study:

  • To explore the risks and benefits of cesarean section by maternal request.
  • To highlight the importance of gestational age in elective cesarean births.

Main Methods:

  • Review of potential risks and benefits associated with cesarean delivery requested by the mother.
  • Discussion of complications in subsequent pregnancies and surgical outcomes.

Main Results:

  • Potential risks include uterine rupture, placenta previa, and accreta in future pregnancies.
  • Potential benefits include a lower risk of postpartum hemorrhage and fewer surgical complications compared to vaginal delivery for the first birth.

Conclusions:

  • Cesarean section by maternal request should not be performed before 39 weeks of gestation.
  • Careful consideration of risks and benefits is crucial for informed decision-making.