Cesarean section by maternal request.
Cesarean section by maternal request is the one performed on a pregnant woman without medical indication and without contraindication to vaginal delivery. There is great controversy over requested cesarean section. Potential risks include complications in subsequent pregnancies, such as uterine rupture, placenta previa and accreta. Potential benefits of requested cesareans include a lower risk of postpartum hemorrhage in the first cesarean and fewer surgical complications compared with vaginal delivery. Cesarean section by request should never be performed before 39 weeks. RESUMO A cesariana a pedido materno é aquela realizada em uma gestante sem indicações médicas e sem contraindicação para tentativa do parto vaginal. Existe grande controvérsia sobre a realização da cesariana a pedido. Riscos potenciais da cesariana a pedido incluem complicações em gravidezes subsequentes, tais como: rotura uterina, placenta prévia e acretismo. Potenciais benefícios da cesariana a pedido englobam um menor risco de hemorragia pós-parto na primeira cesariana e menos complicações cirúrgicas quando comparada ao parto vaginal. A cesariana a pedido jamais deve ser realizada antes de 39 semanas.
- Institute of Gynecology, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Raphael
R
Câmara
- Department of Maternal and Child Care, Faculty of Medicine, Federal Fluminense University, Niteroi, RJ, Brazil.|- Society of Gynecology and Obstetrics of the State of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Marcelo
M
Burlá
- Federal University of Rondônia, Porto Velho, RO, Brazil.
José
J
Ferrari
- Department of Obstetrics, School of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Lana
L
Lima
- Department of Obstetrics, School of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Joffre
J
Amim
- Department of Maternal and Child Care, Faculty of Medicine, Federal Fluminense University, Niteroi, RJ, Brazil.|- Department of Obstetrics, School of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Antonio
A
Braga
- Department of Obstetrics, School of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Jorge
J
Rezende
D002585:Cesarean Section / Q000941:ethics; D005260:Female; D006801:Humans; D057240:Patient Preference; D010923:Placenta Previa; D011247:Pregnancy