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  • Title: Elective caesarean delivery at maternal request: a preliminary study of motivations influencing women's decision-making.
    Author: Robson S, Carey A, Mishra R, Dear K.
    Journal: Aust N Z J Obstet Gynaecol; 2008 Aug; 48(4):415-20. PubMed ID: 18837848.
    Abstract:
    BACKGROUND: There is an extensive literature concerning caesarean section at maternal request, where no obstetric indication exists, yet little information about what motivates women to request such a delivery. AIMS: This paper aims to ask women who had undergone maternal-request primary elective caesarean delivery about the reasons for their choice, their level of satisfaction with the delivery and their future childbearing plans. METHODS: Anonymous postal survey of women who have undergone maternal-request primary caesarean section in private maternity hospitals in the eastern states of Australia. RESULTS: The response rate was 68%, and 78 completed surveys were included in the study. The most common reason given was, 'I was concerned about risks to the baby' (46%). On a scale from 1 (totally unsatisfied) to 10 (completely satisfied), the mean satisfaction rating reported was 9.25/10 (95% confidence interval: 8.89, 9.60). Only eight respondents (10%) stated an intention for more than two caesarean deliveries. CONCLUSIONS: Women who underwent maternal-request caesarean delivery most commonly did so from concerns for the baby. Respondents were highly satisfied with their delivery, and few wished for more than two children.
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