Jeffrey Ecker, M.D., from Massachusetts General Hospital, Boston, is the author of the article that examines this issue of cesarean delivery on maternal request (CDMR). Dr. Ecker writes the term "refers to cesarean delivery performed without maternal or fetal indication; i.e., with no expectation of improving the physical health of the mother or neonate." Dr. Ecker notes that available data indicate that CDMR occurs in less than three percent of all deliveries in the United States.
"Reasons for considering CDMR include fear of specific elements of labor and concern for fetal or maternal morbidities attributable to vaginal delivery," Dr. Ecker writes. "Compared with a plan for vaginal delivery, CDMR may be associated with lower rates of hemorrhage, maternal incontinence, and rate but serious neonatal outcomes. However, CDMR is associated with a higher risk of neonatal respiratory morbidity." And Dr. Ecker writes that repeated caesarean deliveries have higher rates of operative complications and placental abnormalities.
The article concludes: "There is no immediate expectation for CDMR to reduce the health risks of mothers or infants. Accordingly, counseling and decisions regarding CDMR should be made after considering a woman's full reproductive plans."
For advertising and promotion on HealthNewsDigest.com, call or email Mike McCurdy at: 877-634-9180 or firstname.lastname@example.org.We are syndicated worldwide and have over 7,000 journalists as subscribers who may use our content for their own media
Top of Page
Us | Job Listings
| Help | Site
Map | About Us
Advertising Information | HND Press Release | Submit Information | Disclaimer