Primary nonmedically indicated cesarean section ("section on request"): evidence based or modern vogue?
Cesarean section, initially described as an emergency operative procedure for delivering moribund parturients, is now advocated by many as a routine technique with major advantages over vagi-nal delivery. In fact, it has been suggested that labor and vaginal delivery are no longer the desired consequence of pregnancy, a conclusion that reflects perceived medical advantages and patient and physician convenience. This article systematically reviews the various medical implications to the mother and infant of this procedure in the hope of facilitating a more rational approach to this spreading and controversial phenomenon.
Department of Obstetrics & Gynecology, Shaare Zedek Medical Center, PO Box 76100, Jerusalem 91031, Israel. grisaru@netvision.net.il
Sorina
S
Grisaru
Arnon
A
Samueloff
D002585:Cesarean Section / Q000009:adverse effects; D017558:Elective Surgical Procedures; D004992:Ethics, Medical; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D008428:Maternal Mortality; D007744:Obstetric Labor Complications / Q000601:surgery; D010342:Patient Acceptance of Health Care; D017060:Patient Satisfaction; D011247:Pregnancy; D012307:Risk Factors; D013997:Time Factors