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- Title
Characteristics of Nulliparous Women Who Would Consider Cesarean Delivery on Maternal Request.
- Authors
SCHIMPF, MEGAN O.; TULIKANGAS, PAUL K.; O'SULLIVAN, DAVID M.; LASALA, CHRISTINE A.; JACOB, MARY CASEY; EGAN, JAMES F. X.
- Abstract
Introduction/Hypothesis: To identify factors that influence nulliparous women to choose cesarean delivery on maternal request (CDMR). Methods: Nulliparous women at ≥ 34 weeks completed a 76-item survey about concerns during labor, delivery and postpartum. Results: Mean age of the 294 respondents was 28.4 years (± 6.13 years SD) and mean gestational age was 35.4 weeks (± 2.8 weeks). Sixteen patients (5.4%) would request CDMR if offered. Women who would request CDMR were more likely to plan breastfeeding (OR 5.1, P=0.02), have a mother who delivered by C-section (OR 5.1, P=0.01), and be concerned about the number of family members present (OR 1.75, P=0.002). Pelvic muscle damage, urinary incontinence, fecal incontinence, or need for prolapse surgery were not cited by any patient as her top concern. Conclusions: Few women in our sample desire CDMR. Concern for pelvic-floor problems was low.
- Subjects
CESAREAN section; PUERPERIUM; GESTATIONAL age; BREASTFEEDING; LABOR (Obstetrics)
- Publication
Connecticut Medicine, 2011, Vol 75, Issue 4, p207
- ISSN
0010-6178
- Publication type
Article