Caesarean Delivery On Maternal Request - Background

Background

Over the last century, delivery by CS has become increasingly safer. The indications for delivery by CS therefore could become "softer", and the move to perform CS on request can be viewed as an extension of this development. Until recently an elective caesarean section was done on the basis of some medical grounds; the CDMR situation, however, makes the mother's preference the determining factor for the delivery mode.

An elective caesarean will be agreed in advance. An elective caesarean can be suggested by either the mother or her obstetrician, often as a result of a change in the medical status of the mother or baby. The term is used by the press and on the web in a number of different ways, but any caesarian section which is not an emergency is classified as elective. The mother in essence has agreed to it but may not have chosen it.

The popular media suggest that many women are opting for cesareans in the belief that it is a practical solution. The ethical view that a woman has the right to make decisions regarding her body has empowered women to make a choice regarding the method of her childbirth. Furthermore, with women living longer, concern about damage to the pelvic floor organs by vaginal delivery adds an additional dimension to the issue. Such damage could lead to a relaxation in the ligaments that hold the pelvic organs in place; urinary incontinence can become a consequence.

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