Cesarean section by maternal request

Abstract

Cesarean section by maternal request is the one performed on a pregnant woman without medical indication and without contraindication to vaginal delivery. There is great controversy over requested cesarean section. Potential risks include complications in subsequent pregnancies, such as uterine rupture, placenta previa and accreta. Potential benefits of requested cesareans include a lower risk of postpartum hemorrhage in the first cesarean and fewer surgical complications compared with vaginal delivery. Cesarean section by request should never be performed before 39 weeks. RESUMO A cesariana a pedido materno é aquela realizada em uma gestante sem indicações médicas e sem contraindicação para tentativa do parto vaginal. Existe grande controvérsia sobre a realização da cesariana a pedido. Riscos potenciais da cesariana a pedido incluem complicações em gravidezes subsequentes, tais como: rotura uterina, placenta prévia e acretismo. Potenciais benefícios da cesariana a pedido englobam um menor risco de hemorragia pós-parto na primeira cesariana e menos complicações cirúrgicas quando comparada ao parto vaginal. A cesariana a pedido jamais deve ser realizada antes de 39 semanas.

Obstetrical providers’ preferred mode of delivery and attitude towards non‐medically indicated caesarean sections: a cross‐sectional study

“…In cultures valuing technology and intervention, CSs are often associated with improved care quality, higher socio-economic status and greater patient autonomy. 17,32,40,41 However, if Argentine private sector women truly had more autonomy, private sector CS rates (>50%) would be lower, given evidence of women's preference for VD. 24,25,33 Public sector-only providers were significantly less willing to perform CSMR, consistent with a public-sector cultural dynamic of less patient autonomy, including a lack of provider choice.…”

On-demand cesarean section: assessing trends and socioeconomic disparities

“…In the period 2010-2017, Rio Grande experienced the rise of the Naval Complex, with peaks in 2013 and 2014, when it created more than 7,400 direct jobs, resulting in significant income gains and access to private health plans, which were borne by companies 18 . On-demand cesarean section is greater in the private system because doctors are more likely to fulfil the parturient's desire 19 .…”

Venous Thromboembolism and Route of Delivery – Review of the Literature

“…The CFM guarantees the patient's autonomy in choosing the type of delivery that best suits her, and the reason most Brazilian women choose cesarean delivery is the absence of pain. 3 It is also worth noting that, in Brazil, childbirth care does not constitute an exclusively medical act. The public health system admits the nursing professional's performance in the process of childbirth, with legal regulations made by Ordinance no.…”

“…Portuguese acronym) recommends that the obstetrician should respect the decision of elective caesarean section by the patient (Resolution 2144/2016). 3 The objective of this review is to evaluate the events of VTE in the puerperium according to the chosen route of delivery.…”