Document Detail


Cesarean delivery on maternal request: maternal and neonatal complications.
MedLine Citation:
PMID:  18989137     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE OF REVIEW: A complicated but relevant and timely concept, cesarean delivery on maternal request (CDMR) is defined as a cesarean delivery for a singleton pregnancy on maternal request at term in the absence of medical or obstetrical indications. RECENT FINDINGS: Multiple potential risks and benefits exist with both vaginal and cesarean deliveries. A CDMR performed prior to the onset of labor for a mother planning on only one or two children may be reasonable after informed consent and counseling. However, the most concerning complications from cesareans are the neonatal respiratory morbidity and the impact on a mother's future reproductive health, including the risk of abnormal placentation such as placenta previa or accreta. The literature on CDMR is limited and is derived primarily from observational or extrapolated studies. A well designed prospective study does not currently exist but is needed comparing the optimal groups of planned vaginal delivery and planned CDMR. SUMMARY: Discussions regarding CDMR should be individualized. Until there are more data on CDMR and guidelines implemented, an explicitly executed informed consent should form the framework of any decision regarding mode of delivery.
Authors:
Young Mi Lee; Mary E D'Alton
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in obstetrics & gynecology     Volume:  20     ISSN:  1473-656X     ISO Abbreviation:  Curr. Opin. Obstet. Gynecol.     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-11-07     Completed Date:  2009-02-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9007264     Medline TA:  Curr Opin Obstet Gynecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  597-601     Citation Subset:  IM    
Affiliation:
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, NYPH, Weill Cornell Medical College, New York, New York 10032, USA.
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MeSH Terms
Descriptor/Qualifier:
Cesarean Section / adverse effects*,  ethics*,  methods
Decision Making
Female
Humans
Infant, Newborn
Mothers / psychology*
Obstetrics / methods*
Pregnancy
Pregnancy Outcome
Research Design
Risk

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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