Caesarean delivery on maternal request

Cesarean Section by Maternal Request In the specialty of obstetrics, there is an ongoing major controversy about cesarean sections by maternal request (CSMR). In the case that there is no other medical indication for a cesarean section, mothers are requesting this procedure over a vaginal birth. More specifically the American College of Obstetrics and Gynecologists (ACOG, 2013) define it as “a primary prelabor cesarean delivery on maternal request in the absence of any maternal or fetal indications”

Caesarean Delivery on Mother Request University of Mary Fall 2016 Jennifer Escher Caesarean Delivery upon request it is defined as a primary pre-labor delivery on the request of the mother in the absence of any maternal or fetal indications. Risks that are potential with a maternal requested delivery will explain that hospital stay is longer, increased risk with respiratory issues with mother and infant, and greater complications for the maternal with other pregnancies. Those complications

Elective Caesarean Section Introduction Childbirth can be considered as the highlight of a woman’s life and there has been an increase in number where the woman is asking for a caesarean section instead of giving birth through the vagina (Loke, 2015). Caesarean delivery is a surgical procedure that happens when an event or situation that happens that would be considers as an emergency. This surgery is to help get the infant out and to help both the mother and the infant. Recently, caesarean section

Caesarean section (CS) was brought in clinical practice as a life saving procedure both for mother and baby. Caesarean section (CS ) is a surgical intervention which is carried out to assure safety of mother and child when vaginal delivery is difficult or when the doctors consider that the danger to the mother and baby would be greater with a vaginal delivery. One of the important indicators of emergency obstetric care is Caeserean section rate (World Health Organization 2009). Various matters

Elective Caesarean Births: Issues and Implications Elective caesarean birth is defined as caesarean birth upon maternal request without medical or obstetric indication that it is necessary (Lowdermilk, Perry, Cashion, & Alden, 2012). Caesarean birth should not be an option on maternal request as there are many potential risks and implications for both the mother and her baby associated with this procedure. Easter (2015) states “caesarean sections on maternal request can do more harm than good and

Maternal conditions that determine the path of birth, the maternal age and the reduction in the number of desired children. The gestational age less than 38 weeks of gestation or greater than 40 weeks can increase the chance of having a cesarean birth. Births in gestational ages between 29 and 36 weeks have a probability close to 57% of occurring by cesarean section, compared to 33 % in births with a gestational age between 37 and 42 weeks. Women have a greater proportion of births by cesarean section

Chapter 2 2.1 History of caesarean section and development of modern operative obstetrics The first modern caesarean section was performed by German gynaecologist Ferdinand Adolf Kehrer in 1881.(1) Probably the very first documented evidence of caesarean birth is a legal text dating to theera of Hammurabi (1795-1750 BC), describing the birth of a male child “pulled out of the womb” of a deceased woman (7). The name sectio caesarea was first used by the French obstetrician Guillimeau in 1598. At

most common medical interventions in the birthing process is having a cesarean delivery. Despite the known risks of having a cesarean section performed, the rates of this procedure have increased much higher than the acceptable rate of 10-15% as recommended by the World Health Organization. This is due to the reason that cesarean sections are now being performed as a matter of convenience of the physician or at the request of the patient more often than being performed as a life-saving intervention

medication and having a natural delivery is a painful process. Many women view this process as the worst pain they have ever experienced in their lifetime (Sng et al., 2014). The laboring process starts out as mild to severe pain. When the level of pain becomes unbearable, patients often seek out ways to relieve their pain and often times, it is done through epidural analgesia. The controversial issue among pregnant women is knowing when the correct time to request an epidural. The aim of this review

fibres. Therefore, the painful stimuli transmitted from the contracting uterus and birth canal is inhibited without consciousness impairment (Anim-Somuah, Smyth and Jones, 2011). Firstly introduced in 1898, epidural analgesic was used for operative deliveries. The introduction of lignocaine in 1948 increased its popularity due to its faster onset and longer duration of action in contrast to its predecessor, cocaine (Moir, 1986). Epidurals became more widely available in the 1970s when a decline in home