Maternal request for caesarean section: is it obstetrician driven?

Author: Irvine L. Montgomery  

Publisher: Informa Healthcare

ISSN: 1364-6893

Source: Journal of Obstetrics & Gynaecology, Vol.21, Iss.4, 2001-07, pp. : 373-374

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Abstract

To assess whether maternal request for elective caesarean section was in fact obstetrician driven a postal questionnaire was undertaken in the North Thames Region. One hundred and thirty-four consultants who undertook NHS obstetrics replied to the questionnaire. Only one (0·8%) offered elective caesarean section to all women, and all suggested trial of scar in selected cases. Eighty-three (61·9%) of respondents felt that maternal request had significantly increased their caesarean section rate. It is concluded that maternal request for caesarean section is not obstetrician led, but patient driven.