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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

Maternal Request Is not to Blame for an Increase in the Rate of Cesarean Section

Department of Obstetrics and Gynecology, Medical Academy, Lithuanian University of Health Sciences, Lithuania
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Medicina 2012, 48(12), 95; https://doi.org/10.3390/medicina48120095
Received: 3 July 2012 / Accepted: 30 December 2012 / Published: 4 January 2013
Background and Objective. The aim of this study was to establish whether Lithuanian women would request an elective cesarean section in a low-risk pregnancy and to compare how the women’s opinion changed during the 5-year period.
Material and Methods.
A study was conducted at the Hospital of Lithuanian University of Health Sciences from November 1 to December 31, 2006, and from January 1 to February 28, 2011. A total of 204 and 239 women were enrolled in 2006 and 2011, respectively. Self-administered anonymous questionnaires collected information on women’s knowledge about the advantages of the different modes of delivery and their preferred type of birth in a low-risk pregnancy.
Results. Overall, 82.4% of the participants in 2006 and 74.5% in 2011 thought that women should be able to choose the mode of delivery in a low-risk pregnancy. If they had had such an opportunity, 15.2% of women in 2006 and 14.9% in 2011 would have chosen cesarean section without any medical indication. The most frequently mentioned advantage of vaginal delivery was that it is natural, while safety for the newborn and the possibility of avoiding delivery pain were the mentioned advantages of cesarean section.
Conclusions
. Approximately 15% of Lithuanian women would request an elective cesarean section, and this percentage did not change during the 5-year period. While the national cesarean section rate is increasing with every year, it seems that “maternal request” cannot be blamed for this phenomenon. Despite all the available information about the different modes of delivery, women still lack professional and reliable knowledge about it.
Keywords: elective cesarean section; maternal request; women’s opinion; vaginal delivery elective cesarean section; maternal request; women’s opinion; vaginal delivery
MDPI and ACS Style

Kačerauskienė, J.; Barčaitė, E.; Bartusevičius, A.; Railaitė, D.; Nadišauskienė, R. Maternal Request Is not to Blame for an Increase in the Rate of Cesarean Section. Medicina 2012, 48, 95.

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