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Indications for cesarean section on maternal request--guidelines for counseling and treatment.
Division of Obstetrics and Gynaecology, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
Division of Obstetrics and Gynaecology, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
Institute of Clinical Sciences, Department of Obstetrics and Gynaecology, Sahlgrenska Academy, University of Gothenburg, Sweden.
Mid Sweden University, Department of Health Science, Sundsvall, Sweden.
2012 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 3, no 3Article in journal (Refereed) Published
Abstract [en]

AIM: The aim was to find scientific evidence and, based on this, to develop national medical guidelines in Sweden for cesarean section on mother's request.

BACKGROUND: More than 17% of all births in Sweden in 2008 were cesarean sections, compared to 5% at the beginning of the 1970s. About 8% of the cesarean sections were performed at mother's request. The predominant reason for this preference is fear of childbirth. When deciding whether to perform an elective cesarean section, the obstetrician must emphasize the long- and short-term health consequences for the mother and her baby, as well as weigh the risks associated with the procedure itself against not performing the procedure. Clarification is needed to determine for which conditions it is appropriate to comply with the mother's request.

MATERIALS AND METHOD: A literature review was conducted to identify factors that were relevant as an argument to meet the request for cesarean section on maternal request. The authors analyzed these factors individually to determine.

FINDINGS: The guidelines suggest that it is appropriate to comply with a woman's request for cesarean section if the reason for her request is deemed sufficiently serious and if, after participating in a counseling program, the woman persists in her request for cesarean section.

CONCLUSION: A request for cesarean section where no medical indication is present should not be met without considerations concerning the safety of the mother and her baby, while also weighing the risk of adverse outcomes for mother and baby.

Place, publisher, year, edition, pages
2012. Vol. 3, no 3
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-312163DOI: 10.1016/j.srhc.2012.06.003PubMedID: 22980734OAI: oai:DiVA.org:uu-312163DiVA: diva2:1062402
Available from: 2017-01-05 Created: 2017-01-05 Last updated: 2017-01-05

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