Cesarean Delivery on Maternal Request (CDMR): Do’s and Don’ts

Volume 4 - Issue 1

Brinderjeet Kaur*

Received:October 16, 2019;   Published:October 30, 2019

DOI: 10.32474/IGWHC.2018.04.000177

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Abstract

Cesarean section is the most common surgical procedure in the world. Cesarean Section on Maternal Request (CSMR) is one that is performed on pregnant woman without any medical or obstetrics indications and without contraindication to vaginal delivery. CSMR should never be performed before <39 weeks. There is increased incidence of CSMR worldwide, not only for perceived medical benefits but due to social, cultural and lifestyle changes. The validity of consent for CSMR is invalid and the ethical principles surrounding the use are complicated. It is of utmost importance that it does not dent resources of country and deprive care to woman requiring medically individualized care. It is necessary for obstetrician dealing with request for CSMR that they establish reasons for request provide clear unbiased opinions and seek second opinion from a colleague that may help patients to reconsider request and make a more informed decision.

Keywords: Cesarean Section on Maternal Request (CSMR), Obstetrician, Vaginal Delivery

Abstract| Introduction| Why Caesarean section?| Statistical Analysis| Ethical issue| Conclusion| References|