title: Characteristics of nulliparous women who would consider cesarean delivery on maternal request.
abstract: OBJECTIVE
  To identify factors that influence nulliparous women to choose cesarean delivery on maternal request (CDMR).
  
  
  METHODS
  Nulliparous women at > or = 34 weeks completed a 76-item survey about concerns during labor, delivery and postpartum.
  
  
  RESULTS
  Mean age of the 294 respondents was 28.4 years (+/- 6.13 years SD) and mean gestational age was 35.4 weeks (+/- 2.8 weeks). Sixteen patients (5.4%) would request CDMR if offered. Women who would request CDMR were more likely to plan breastfeeding (OR 5.1, P=0.02), have a mother who delivered by C-section (OR 5.1, P= 0.01), and be concerned about the number of family members present (OR 1.75, P=0.002). Pelvic muscle damage, urinary incontinence, fecal incontinence, or need for prolapse surgery were notcited by any patient as her top concern.
  
  
  CONCLUSIONS
  Few women in our sample desire CDMR. Concern for pelvic-floor problems was low.
authors.affiliation: Department of Obstetrics and Gynecology, Division of Urogynecology, Hartford Hospital/University of Connecticut, Hartford, Connecticut, USA.
authors.forename: Megan O
authors.initials: MO
authors.lastname: Schimpf
authors.forename: Paul K
authors.initials: PK
authors.lastname: Tulikangas
authors.forename: David M
authors.initials: DM
authors.lastname: O'Sullivan
authors.forename: Christine A
authors.initials: CA
authors.lastname: LaSala
authors.forename: Mary Casey
authors.initials: MC
authors.lastname: Jacob
authors.forename: James F X
authors.initials: JF
authors.lastname: Egan
mesh_terms: D000293:Adolescent; D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects / Q000523:psychology*; D016009:Chi-Square Distribution; D002755:Choice Behavior; D005260:Female; D006801:Humans; D016015:Logistic Models; D009035:Mothers / Q000523:psychology*; D010298:Parity; D011247:Pregnancy; D012307:Risk Factors; D011795:Surveys and Questionnaires