Weiner Zeev
Harefuah. 2014 Jun;153(6):327-8, 367.
Cesarean section on maternal request is defined as a primary prelabor cesarean delivery on maternal request with no maternal or fetal indications. There are many controversies surrounding this issue encompassing medical, legal and ethical aspects. Therefore, doctors are still confused about what they should tell their patient. Is planned elective cesarean delivery safer than planned vaginal delivery? Should they perform surgery in the absence of a medical indication? There is no clear answer to these questions since the avaiLable data in the literature is inconclusive. However, in cases in which cesarean delivery on maternal request is planned it should not be performed before the gestational age of 39 weeks due to higher respiratory morbidity and other complications reported to be associated with late prematurity. In addition, cesarean delivery on maternal request should not be recommended for women desiring several children since the risk for placenta accreta and hysterectomy increase with each cesarean section.
产妇要求下的剖宫产定义为产妇要求下的首次临产前剖宫产，且无母体或胎儿指征。围绕这一问题存在许多争议，涉及医学、法律和伦理等方面。因此，医生对于应该告知患者什么仍然感到困惑。计划择期剖宫产比计划阴道分娩更安全吗？他们应该在没有医学指征的情况下进行手术吗？由于文献中的现有数据尚无定论，这些问题没有明确答案。然而，在计划进行产妇要求下的剖宫产的情况下，由于据报道晚期早产会导致更高的呼吸系统发病率和其他并发症，因此不应在孕39周前进行。此外，对于想要多个孩子的女性，不应推荐产妇要求下的剖宫产，因为胎盘植入和子宫切除的风险会随着每一次剖宫产而增加。
