Cesarean delivery on maternal request (CDMR)
DOI:
https://doi.org/10.18597/rcog.2985Abstract
Cesarean section (c-section) is the surgical procedure most frequently performed in women with the aim of reducing maternal and perinatal morbidity and mortality. Historically, indications have varied. In Ancient Rome, the Lex Cesarea mandated that in all cases where a pregnant woman died, this surgery should be performed in order to save the foetus (1). Before the 16th century and because of religious influence, the requirement was to perform the procedure in all women who died before delivery, for the purpose of burying the two bodies separately. The first known report of a woman who survived cesarean section dates back to the 16th century and, since that time, it continued to be indicated only in cases where vaginal delivery was considered risky for the mother or the foetus. Gradually, the frequency with which the procedure was performed increased supported by enhanced safety of surgical procedures in general, better anaesthetic techniques and cultural changes among physicians and women alike (2). Recently, a new concept has been introduced, namely cesarean delivery on maternal request (CDMR), presumed to occur provided the mother is fully informed of short and long-term benefits and risks both for her as well as the baby.
Author Biography
Javier E. Fonseca-Pérez
Editor Invitado
Profesor Asistente
Departamento de Obstetricia y Ginecología
Universidad del Valle
References
Sánchez F. La operación cesárea en Colombia (recuento histórico). Rev Colomb Obstet Ginecol. 1971;XXII:101-10.
Vázquez Parra, JC. Abuso de la operación cesárea y el principio de beneficencia. Revista Latinoamericana de Bioética. 2016;16:60-71.
Gibbons L, Belizán JM, Lauer JA, Betran AP, Merialdi M, Althabe F. The global numbers and costs of additionally needed and unnecessary caesarean sections performed per year: Overuse as a barrier to universal coverage. Geneva: World Health Organization; 2010. Report No. 30.
Hamilton BE, Hoyert DL, Martin JA, Strobino DM, Guyer B. Annual summary of vital statistics: 2010-2011. Pediatrics. 2013;131:548-58.
Rubio-Romero JA, Fonseca-Pérez JE, Molina-Giraldo S, Buitrago-Leal M, Zuleta-Tobón JJ, Ángel-Muller E et al. Racionalización del uso de la cesárea en Colombia. Consenso de la Federación Colombiana de Obstetricia y Ginecología (Fecolsog) y la Federa¬ción Colombiana de Perinatología (Fecopen). Rev Colomb Obstet Ginecol. 2014;65:47-74.
National Institutes of Health State-of-the-Science Conference Statement Cesarean Delivery on Maternal. Editorial. Obstet Gynecol. 2006;107:1386-97.
Wilkinson C, Mc Ilwaine G, Boulton-Jones C, Cole S. Is a rising caesarean section rate inevetable? Br J Obstet Gynaecol. 1998;105:45-52.
Quinlivan JA, Petersen RW, Nichols CN. Patient preference the leading indication for elective caesarean section in public patients-results of a 2-year prospective audit in a teaching hospital. Aust N Z J Obstet Gynaecol. 1999;39:207-14.
Gabbe GS, Holzman GB. Obstetrisian’s choce of delivery. Lancet. 2001;357:722.
Bettes BA, Coleman VH, Zinberg S, Spong CY, Portnoy B, DeVoto E et al. Cesarean delivery on maternal request: obstetrician-gynecologists' knowledge, perception, and practice patterns. Obstet Gynecol 2007;109:57-66.
De la Fuente P, De la Fuente L. Cesárea a petición de la embarazada. Encuesta de opinión de la Sociedad Española de Obstetricia y Ginecología. Prog Obstet Ginecol. 2007;550:420-8.
National Institutes of Health State-of-the-science Conference Stament. Cesarean Delivery on Maternal Request. Obstet Gynecol. 2006;107:1386-97.
Silver RM, Landon MB, Rouse DJ, Leveno KJ, Spong C, Thom EA et al. Maternal morbidity associated with multiple repeat cesarean deliveries. Obstet Gynecol. 2006;107:1226-32.
Montori VM, Permanyer-Miralda G, Ferreira-González I, Busse JW, Pacheco-Huergo V, Briant D, et al. Validity of composite end points in clinical trials. BMJ. 2005;330:594-6.
Shams-Ghahfarokhi Z, Khalajabadi-Farahani F. Intention for cesarean section versus vaginal delivery among pregnant women in Isfahan: Correlates and determinants. J Reprod Infertil. 2016;17230-9.
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