Engelsk titel: Maternal request - what impact does it have on the Caesarean section rate?
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Författare:
Bredahl Rasmussen O
Email: olebr@dadlnet.dk
Språk: Dan
Antal referenser: 13
Dokumenttyp:
Artikel
UI-nummer: 05011900
Sammanfattning
Introduction: The objective of this study was to determine the impact of maternal request for Caesarean section on the overall rate of Caesarean section. Materials and methods: Data comprising all deliveries in Viborg, Denmark, from 1 January 1998 to 30 June 2003 were used with the outcome measure Caesarean section before labour. Three groups of pregnant women with one foetus in vertex presentation in gestational week 37+0 or more were included: primiparae, multiparae without previous uterine scar and multiparae with a previous uterine scar. Data from the period 1 January 1998 to 30 June 2000 were compared with data from the period 1 July 2000 to 30 June 2003. Results: The rate of Caesarean section before labour was unchanged among the primiparae. There was a significant rise in this rate in both groups of multiparae, especially in the group with a previous scar. Had the rate of Caesarean section before labour been unchanged, there would have been 71 fewer Caesarean sections in the second period. Discussion: The rate of maternal request for Caesarean section has supposedly gone up, but in Viborg it seems that the rise has amounted to at the most 1.3% of the total population. Maternal request for Caesarean section may be perceived as a critique of the support of the labour ward during a previous delivery. Several other factors which influence the rate of Caesarean section are changing, among which is obstetricians' attitude toward Caesarean section. There is a need for consensus on the definition of maternal request and a valid quantification of this request to avoid its reaching mythological proportions among professionals and the public alike.