title: Patients' attitudes associated with cesarean delivery on maternal request in an urban population.
abstract: OBJECTIVE
  To explore patient attitudes related to cesarean delivery on maternal request (CDMR).
  
  
  METHODS
  Questionnaires were distributed to patients in mid-trimester. Questions assessed patient demographics, knowledge, perceived risks, and attitudes about CDMR.
  
  
  RESULTS
  Three hundred and fourteen questionnaires and 188 written responses were used for analysis. Most patients (95%) did not believe that CDMR was advisable and felt that vaginal delivery (VD) was safer for both mother (93%) and baby (88%). Of patients who did not believe CDMR was advisable, the most common explanations were classified into categories of "normal is better," "risk of complications" (67%), only 1% of this group felt that the decision should be left up to the individual. Of the remaining patients (5%) who supported CDMR, 75% believed that the decision should be left up to the individual.
  
  
  CONCLUSIONS
  The majority of women in our population do not think that CDMR is advisable.
authors.affiliation: Department of Obstetrics & Gynecology and Women's Health, Albert Einstein College of Medicine of Yeshiva University/Montefiore Medical Center, Bronx, NY 10461, USA.
authors.forename: Leo
authors.initials: L
authors.lastname: Pevzner
authors.forename: Dena
authors.initials: D
authors.lastname: Goffman
authors.forename: Margaret Comerford
authors.initials: MC
authors.lastname: Freda
authors.forename: Ashlesha K
authors.initials: AK
authors.lastname: Dayal
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology; D002585:Cesarean Section / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006630:Hispanic or Latino / Q000523:psychology; D006801:Humans; D009035:Mothers / Q000523:psychology; D011247:Pregnancy; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D014505:Urban Population