II. The unfacts of 'request' caesarean section

Bewley, S

doi:10.1016/s1470-0328(02)07106-9

Cited by 9 publications

(13 citation statements)

References 59 publications

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“…The existent literature shows that one of the important reasons for the climbing Caesarean rate has been women's own personal preference. [9][10][11][25][26][27][28][29] In this study, most of the women expressed a preference for vaginal birth, as more positive beliefs are associated with this type of birth than Caesarean sections. This finding is consistent with several studies in Asia that reported women's preference for vaginal childbirth.…”

Section: Discussionmentioning

confidence: 99%

“…Suggested reasons include increased use of technology with over-reaction to fetal monitoring, loss of obstetric skills such as vaginal breech delivery, fear of litigation and even pressure on obstetricians' time. [9][10][11][12][13] Some recent studies have examined request for Caesarean section by women undergoing this procedure. They aimed to determine women's role in the decision to have a Caesarean section, with specific emphasis on women requesting, demanding or choosing it.…”

Section: Introductionmentioning

confidence: 99%

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Kurdish women's preference for mode of birth: A qualitative study

Shahoei

Rezaei

Ranaei

et al. 2013

Int J of Nursing Practice

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Choosing between a normal delivery and Caesarean section is a matter of critical importance for a pregnant woman. The third trimester is the time for her to think about methods of delivery. The study aims to gain insight into Kurdish pregnant women's birth preference and their perception of factors influencing this choice. In this qualitative study, 22 pregnant Kurdish women were interviewed during the third trimester of their pregnancies. The setting for the study included three public health-care centres of Kurdistan University of Medical Sciences in Sanandaj, a centre of the Kurdistan province at the western part of Iran. Study participants were recruited from maternity units of health-care centres. A purposive sample was used initially and then theoretical sampling was used towards the end of the data analysis. Sample size was not predetermined but was determined when interviewing reached saturation, that is, when no new data emerged about categories. The sample size was restricted to 22, as no new data were generated after the 20th interview. The criteria required for inclusion in the study were being Kurdish women, being in the third trimester of pregnancy, no physical disability, no history of Caesarean section and interest in the study. A qualitative design was chosen, as it is particularly suited to studying complex phenomena or processes that are less understood. This study revealed that of the 22 participants, 18 preferred vaginal delivery and only four preferred Caesarean section. The reasons for choosing the vaginal delivery method were grouped into four categories: safety of baby, fear, previous experience and social support. This finding does not support the rate of Caesarean section among Kurdish women in Sanandaj. It might reflect the effect of other factors such as social, institutional, professional and quality of care on women's choice for delivery method.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Kurdish women's preference for mode of birth: A qualitative study

Shahoei

Rezaei

Ranaei

et al. 2013

Int J of Nursing Practice

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“…Instead the emphasis should be on comparisons of the implications of vaginal versus CS delivery. The uptake of CS in women made aware of such information will clearly be more appropriate than any of the current “desirable targets”.’ The ACOG in 2003 published a Committee Opinion stating: ‘If taken in a vacuum the principle of patient autonomy would lend support to the permissibility of elective CS delivery in a normal pregnancy after adequate informed consent.’ These sentiments were challenged in combative papers by Bewley and Cockburn, who argued that the sizeable minority of female obstetricians choosing elective CS as a first option ‘may be biased by their exposure to the complications of childbirth.’ Their response to a CS delivery on maternal request included referral to a psychiatrist, a mandatory second opinion and a series of ‘checks and hurdles’ in a continuing dialogue with the woman which might be mistaken for coercion. Subsequently, a similar USA survey confirmed a high (21%) preference for maternal request among American obstetricians, listing urinary and anal incontinence and concern for fetal death or injury as reasons.…”

Section: Patient Autonomymentioning

confidence: 99%

Fetal macrosomia: a problem in need of a policy

Campbell¹

2014

Ultrasound Obstet Gynecol

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“…The major reasons for avoiding vaginal delivery were the fear of childbirth and the concern for postpartum sexual health. Such evidence might cause high preference rate of elective caesarean section due to the perceived benefits of this mode of birth [7][8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Does Mode of Delivery Affect Sexual Functioning of the Man Partner?

Güngör

Başer

Ceyhan

et al. 2008

The Journal of Sexual Medicine

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Introduction Recent surveys showed that the major reasons for avoiding vaginal delivery were the fear of childbirth and the concern for postpartum sexual health. Although sexual dysfunction is a disorder that affects a couple rather than an individual, all studies investigating the relationship between the mode of delivery and sexual problems have been conducted only in cohorts of women. Aim To determine the effect of mode of delivery on quality of sexual relations and sexual functioning of men by using the Golombock–Rust Inventory of Sexual Satisfaction (GRISS). Main Outcome Measure Mean score of sexual function and prevalence of sexual dysfunction in overall and specific areas of the GRISS were compared among the three groups. Methods A total of 107 men accompanying their wives in outpatient clinics of obstetrics and gynecology met inclusion/exclusion criteria. Three groups of men were defined; men whose partners had: (i) “elective cesarean delivery” (N=21; mean age 32.2 ± 3.8 years); (ii) “vaginal delivery with mediolateral episiotomy” (N=36; mean age 31.4 ± 4.5 years); and (iii) “not given birth” (N=50; mean age 28.8 ± 4.0 years). Results Mean overall sexual function score (normal value<25 points) was 20.5 ± 8.2 in the elective caesarean group, 19.3 ± 6.5 in the vaginal delivery group, and 18.8 ± 9.3 in the nulliparae group (P = 0.731). Prevalence of sexual dysfunction in men was 28.6% in the elective caesarean group, 19.4% in the vaginal delivery group, and 30.0% in the nulliparae group (P = 0.526). Conclusion Overall sexual function of men was not affected by their partner's parity and mode of delivery. An elective cesarean section simply because of concerns about sexual function would not provide additional benefit to men, and could deny women a possible vaginal delivery, which is generally assumed to be safer than cesarean section.

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II. The unfacts of 'request' caesarean section

Cited by 9 publications

References 59 publications

Kurdish women's preference for mode of birth: A qualitative study

Kurdish women's preference for mode of birth: A qualitative study

Fetal macrosomia: a problem in need of a policy

Does Mode of Delivery Affect Sexual Functioning of the Man Partner?

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