Patients' attitudes associated with cesarean delivery on maternal request in an urban population

Am J Obstet Gynecol. 2008 May;198(5):e35-7. doi: 10.1016/j.ajog.2007.10.778. Epub 2008 Jan 15.

Abstract

Objective: To explore patient attitudes related to cesarean delivery on maternal request (CDMR).

Study design: Questionnaires were distributed to patients in mid-trimester. Questions assessed patient demographics, knowledge, perceived risks, and attitudes about CDMR.

Results: Three hundred and fourteen questionnaires and 188 written responses were used for analysis. Most patients (95%) did not believe that CDMR was advisable and felt that vaginal delivery (VD) was safer for both mother (93%) and baby (88%). Of patients who did not believe CDMR was advisable, the most common explanations were classified into categories of "normal is better," "risk of complications" (67%), only 1% of this group felt that the decision should be left up to the individual. Of the remaining patients (5%) who supported CDMR, 75% believed that the decision should be left up to the individual.

Conclusion: The majority of women in our population do not think that CDMR is advisable.

MeSH terms

  • Adolescent
  • Adult
  • Black or African American / psychology
  • Cesarean Section / psychology*
  • Cesarean Section / statistics & numerical data
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Hispanic or Latino / psychology
  • Humans
  • Mothers / psychology
  • Pregnancy
  • Prospective Studies
  • Surveys and Questionnaires
  • Urban Population