DOI: https://dx.doi.org/10.18203/2320-1770.ijrcog20220178
Published: 2022-01-28

Caesarean delivery on maternal request: need to redefine in view of intrapartum cases

Kishore Bhanudasrao Atnurkar, Arun Ramkrishnarao Mahale

Abstract


Background: The objective of the study was to analyse the data of caesarean section on maternal request (CDMR) both before labour and intrapartum, in low-income society from a town in India.

Methods: It was a retrospective observational study of 9331 caesarean section (CS) cases carried out in different small private maternity hospitals over a period of 20 years. We used the data for auditing the CS cases done on maternal request.

Results: Out of 9331 CS cases documented, 216 CS were done on maternal request. The incidence of CDMR was 2.31%. About one third cases were intra-partum. The rising trend of CDMR was observed both before labour and intra-partum.

Conclusions: There was a need to redefine CDMR in the view of rise in the incidence of women requesting for CS not only before labour but during lab or also. CDMR is no more confined to highly educated, rich and women from urban area. Less educated, low income group women residing in rural area are also becoming aware that CS can be done on maternal request.

 


Keywords


Caesarean section, Caesarean section on demand, Caesarean section on request

Full Text:

PDF

References


Chervenak F, McCullough L. Responding professionally to requests for cesarean delivery. Georgian Med News. 2017;(268-269):7-11.

Loke AY, Davies L, Mak YW. Is it the decision of women to choose a cesarean section as the mode of birth? A review of literature on the views of stakeholders. BMC Pregnancy Childbirth. 2019;19:286.

Eide KT, Morken NH, Bærøe K. Maternal reasons for requesting planned cesarean section in Norway: a qualitative study. BMC Pregnancy Childbirth. 2019;19:102.

Begum T, Saif-Ur-Rahman KM, Yaqoot F, Stekelenburg J, Anuradha S, Biswas T, et al. Global incidence of caesarean deliveries on maternal request: a systematic review and meta-regression. BJOG. 2021;128(5):798-806.

Kalish RB, McCullough L, Gupta M, Thaler HT, Chervenak FA. Intrapartum elective cesarean delivery: a previously unrecognized clinical entity. Obstet Gynecol. 2004;103(6):1137-41.

Schantz C, de Loenzien M, Goyet S, Ravit M, Dancoisne A, Dumont A. How is women's demand for caesarean section measured? A systematic literature review. PLoS One. 2019;14(3):e0213352.

Singh SK, Vishwakarma D, Sharma SK. Prevalence and determinants of voluntary caesarean deliveries and socioeconomic inequalities in India: Evidence from National Family Health Survey (2015-16). Clin Epidemiol Glob Health. 2020;8(2):335-42.

Narayanaswamy M, Ambika B, Sruthi T. Cesarean delivery at maternal request in a rural medical college hospital. J Clin Gynecol Obstet. 2016;5(2):64-7.