• Am. J. Obstet. Gynecol. · May 2008

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

    • Leo Pevzner, Dena Goffman, Margaret Comerford Freda, and Ashlesha K Dayal.
    • Department of Obstetrics & Gynecology and Women's Health, Albert Einstein College of Medicine of Yeshiva University/Montefiore Medical Center, Bronx, NY 10461, USA.
    • Am. J. Obstet. Gynecol. 2008 May 1;198(5):e35-7.

    ObjectiveTo explore patient attitudes related to cesarean delivery on maternal request (CDMR).Study DesignQuestionnaires were distributed to patients in mid-trimester. Questions assessed patient demographics, knowledge, perceived risks, and attitudes about CDMR.ResultsThree 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.ConclusionThe majority of women in our population do not think that CDMR is advisable.

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