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Caesarean delivery on maternal request (CDMR) is a medically unnecessary caesarean section, where the conduct of a childbirth via a caesarean section is requested by the pregnant patient even though there is not a medical indication to have the surgery. [61]
Requirements for a second opinion from an additional doctor before giving a caesarean section has a small effect on reducing the rate of unnecessary caesarean sections. [17] Communities of health care providers who peer review each other and come to agreement about the necessity of caesarean sections tend to use them less frequently. [17]
Conversely, if the fetus has reached the point of viability, a prompt birth via Caesarean section offers the best chance of survival. [4] Even if there is no reasonable prospect of maternal resuscitation (for example, after a nonsurvivable injury or prolonged cardiac arrest), the procedure can still serve this purpose. [3]
She says that active herpes lesions in the genital tract are an indication for a cesarean section, and that vaginal infections in general can potentially cause preterm birth.
A lower (uterine) segment caesarean section (LSCS) is the most commonly used type of caesarean section. [1] Most commonly, a baby is delivered by making a transverse incision in the lower uterine segment, above the attachment of the urinary bladder to the uterus.
Although fetal delivery through caesarean section is a very common surgery done in the world, it comes with several risks including bleeding, infection, thromboembolism, and soft-tissue injury. During a caesarean section, a hysterotomy is utilized to make an incision in the uterus and remove the fetus. [8]
Spontaneous vaginal delivery at term is the preferred outcome of pregnancy, and according to the International Federation of Gynecology and Obstetrics, will be recommended if there are no evidence-based clinical indications for Cesarean section. [30]
Older women are also more likely to deliver via C-section rather than vaginally, and they have a higher risk for chromosomal abnormalities. For instance, the chance of conceiving a child with Down ...