Lay companions are provided in both the labour and delivery room on request at the city MCH hospital but there are no single delivery rooms (which are often requested by foreign women in Shanghai).
Cesarean delivery on maternal request.
To explore patient attitudes related to cesarean delivery on maternal request (CDMR).
Omitting the existence of cesarean delivery on maternal request (CDMR) may also make the interpretation of their results ambiguous.
The purpose of this study was to describe the risks and benefits of cesarean delivery on maternal request (CDMR) in a Chinese population.
In some areas, caesarean delivery on maternal request accounted for half of all caesarean births [ 2- 4, 32].
Cesarean delivery on maternal request (CDMR), patient choice cesarean, or cesarean on demand all refer to elective caesarean section (CS) for singleton term pregnancy carried out on maternal request in the absence of maternal or fetal indications [ 1].
The most common indication for CS was caesarean delivery on maternal request (CDMR; 28.43%), followed by cephalo-pelvic disproportion (14.08%), fetal distress (12.46%), previous CS (10.25%), malpresentation and breech presentation (6.56%), macrosomia (6.10%) and other indications (22.12%).
This has been termed "caesarean delivery on maternal request (CDMR)", and has generated worldwide debate because several studies have shown that this phenomenon may be one of the drivers of the rising CS rate [ 9- 12].
The principlist approach offered a useful framework for ethical analysis of cesarean delivery on maternal request, identified the rights and duties of those involved, and helped reach a conclusion, although conflict at the individual level may remain challenging.
Because there is no validated and universal medical code to indicate such deliveries, we do not know whether elective cesareans (typically referred to as Cesarean Deliveries on Maternal Request, or CDMRs) significantly impact the overall cesarean rate or are a rare novelty.
