Obstet Gynecol. 2013 Apr;121(4):904-907. doi: 10.1097/01.AOG.0000428647.67925.d3.
Cesarean delivery on maternal request is defined as a primary prelabor cesarean delivery on maternal request in the absence of any maternal or fetal indications. Potential risks of cesarean delivery on maternal request include a longer maternal hospital stay, an increased risk of respiratory problems for the infant, and greater complications in subsequent pregnancies, including uterine rupture, placental implantation problems, and the need for hysterectomy. Potential short-term benefits of planned cesarean delivery compared with a planned vaginal delivery (including women who give birth vaginally and those who require cesarean delivery in labor) include a decreased risk of hemorrhage and transfusion, fewer surgical complications, and a decrease in urinary incontinence during the first year after delivery. Given the balance of risks and benefits, the Committee on Obstetric Practice believes that in the absence of maternal or fetal indications for cesarean delivery, a plan for vaginal delivery is safe and appropriate and should be recommended to patients. In cases in which cesarean delivery on maternal request is planned, delivery should not be performed before a gestational age of 39 weeks. Cesarean delivery on maternal request should not be motivated by the unavailability of effective pain management. Cesarean delivery on maternal request particularly is not recommended for women desiring several children, given that the risks of placenta previa, placenta accreta, and gravid hysterectomy increase with each cesarean delivery.
产妇要求的剖宫产术是指在不存在任何母体或胎儿指征的情况下，于临产前行择期剖宫产术。产妇要求的剖宫产术的潜在风险包括产妇住院时间延长、婴儿呼吸问题风险增加以及随后妊娠的并发症更多，包括子宫破裂、胎盘植入问题和需要子宫切除术。与计划性阴道分娩（包括阴道分娩的妇女和分娩时需要剖宫产的妇女）相比，计划性剖宫产术的潜在短期益处包括出血和输血风险降低、手术并发症减少以及分娩后第一年尿失禁减少。鉴于风险和益处的平衡，产科实践委员会认为，在不存在剖宫产指征的情况下，阴道分娩计划是安全且合适的，应向患者推荐。在计划行产妇要求的剖宫产术的情况下，分娩不应在妊娠 39 周之前进行。不应因无法有效进行疼痛管理而进行产妇要求的剖宫产术。鉴于前置胎盘、胎盘植入和妊娠子宫切除术的风险随着每次剖宫产而增加，产妇要求的剖宫产术尤其不建议希望生育多胎的妇女采用。
