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Chapter 17 - Cesarean Delivery on Maternal Request

from Section 2 - Labor and Delivery

Published online by Cambridge University Press:  23 February 2023

By
Alexa Eberle  and
Amira El-Messidi
Edited by
Amira El-Messidi  and
Alan D. Cameron
Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
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Summary

A healthy 25-year-old primigravida with a spontaneous singleton pregnancy at 32+3 weeks’ gestation presents for a routine prenatal visit accompanied by her husband. Her primary care provider just left on a three-month sabbatical. Pregnancy dating was confirmed by first-trimester sonography. All maternal-fetal aspects of routine prenatal care have been unremarkable, and the patient has not experienced any pregnancy complications. There is no history of mental health disorders, and the patient practices a healthy lifestyle.

Keywords

Elective Cesarean section, contributorsCesarean section, maternal demand, maternal requestCounsellingRisks, short-term and long-termComplicationsTocophobiaNeuraxial anesthesia, advantagesEthical principles
Type
Chapter
Information
OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
 , pp. 244 - 251
Publisher: Cambridge University Press
Print publication year: 2023

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References

Suggested Readings

ACOG Committee Opinion No. 761: Cesarean delivery on maternal request. Obstet Gynecol. 2019;133(1):e73–e77.CrossRefGoogle Scholar
Alsayegh, E, Bos, H, Campbell, K, et al. No. 361 – Caesarean delivery on maternal request. J Obstet Gynaecol Can. 2018;40(7):967–971.CrossRefGoogle ScholarPubMed
(a)D’Souza, R, Arulkumaran, S. To ‘C’ or not to ‘C’? Caesarean delivery upon maternal request: a review of facts, figures and guidelines. J Perinat Med. 2013;41(1):5–15.CrossRefGoogle Scholar
(b)D’Souza, R. Caesarean section on maternal request for non-medical reasons: putting the UK National Institute of Health and Clinical Excellence guidelines in perspective. Best Pract Res Clin Obstet Gynaecol. 2013;27(2):165–177. [documents (a) and (b) are similar]CrossRefGoogle Scholar
FIGO Ethics and Professionalism Guideline: decision making about vaginal and caesarean delivery. June 26, 2020. Available at www.figo.org/decision-making-about-vaginal-and-caesarean-delivery. Accessed April 18, 2021.Google Scholar
National Institutes of Health state-of-the-science conference statement: Cesarean delivery on maternal request March 27–29, 2006. Obstet Gynecol. 2006;107(6):1386–1397.CrossRefGoogle Scholar
National Institute for Health and Care Excellence (NICE guideline No. 192). Caesarean birth. March 31, 2021. Available at www.nice.org.uk/guidance/ng192. Accessed April 3, 2021.Google Scholar
O’Donovan, C, O’Donovan, J. Why do women request an elective cesarean delivery for non-medical reasons? A systematic review of the qualitative literature. Birth. 2018;45(2):109–119.CrossRefGoogle Scholar
Opiyo, N, Kingdon, C, Oladapo, OT, et al. Non-clinical interventions to reduce unnecessary caesarean sections: WHO recommendations. Bull World Health Organ. 2020;98(1):66–68.CrossRefGoogle ScholarPubMed
Richens, Y, Smith, DM, Lavender, DT. Fear of birth in clinical practice: A structured review of current measurement tools. Sex Reprod Healthc. 2018;16:98–112. [Correction in Sex Reprod Healthc. 2019 Oct;21:108]Google Scholar
Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG). Cesarean delivery on maternal request (C-Obs 39); July 2017. Available at https://ranzcog.edu.au/statements-guidelines. Accessed April 18, 2021.Google Scholar

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