caesarean delivery on maternal request

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caesarean delivery on maternal request2016-11-11T19:09:25+00:00

caesarean delivery on maternal request 


A self-explanatory term for a caesarean delivery performed without maternal or fetal indications and typically a preplanned response to mom’s whims. 

Reasons for preferring CDMR Fear of labour, poor prior experiences with labour, concerns about specific outcomes–e.g., fecal or urinary incontinence.

Frequency 0.4% to 2% of all deliveries in the USA

CDMR cons

• Maternal morbidity Anaesthetic complications, infection, organ injury, pain, delayed return to sexual activity

• Neonatal morbidity Respiratory tract morbidity

• Etc Iatrogenic morbidity, negative effect on breastfeeding, abnormal placentation, increased length of stay and cost.

Reference JAMA 2013; 309:1930-1936

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