Elective caesarean section on request

Should women who elect to have caesarean sections pay for them?

“…Neither the original articles in the BMJ on elective caesarean section nor the correspondence that followed quantified the problem in the United Kingdom. 1 2…”

“…The added morbidity and mortality associated with caesarean sections compared with vaginal delivery are clearly relevant2 but personal experience suggests that the patient's awareness of this does not reduce the demand.…”

“…The cost to the NHS for a caesarean section is not established2 but it has been calculated for the John Radcliffe Hospital at £668 ($1069), which includes the preoperative check (£6), the operation (£188), and a mean 4.2 days in the postnatal ward (£475) 4. The cost of inducing labour has been calculated at £644 for a nulliparous woman and £494 for a multiparous woman which includes the induction, intrapartum care with delivery, and a mean 2.1 days in the postnatal ward 4.…”

“…Using these figures, it would be reasonable to make a small charge for those women who request a caesarean section that is not medically indicated. Since it is widely accepted that women should be allowed to choose delivery by caesarean section,2 labour induction as term approaches should also be accepted despite current opposition from obstetricians and midwives. The risk of caesarean section to a woman's health and life should, however, be made clear.…”