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Review
. 2023 Oct:163 Suppl 2:10-20.
doi: 10.1002/ijgo.15118.

FIGO good practice recommendations for cesarean delivery on maternal request: Challenges for medical staff and families

Diana Ramasauskaite  1 , Anwar Nassar  2 , Akaninyene Eseme Ubom  3 , Wanda Nicholson  4 ; FIGO Childbirth and Postpartum Hemorrhage Committee
Collaborators, Affiliations
Review

FIGO good practice recommendations for cesarean delivery on maternal request: Challenges for medical staff and families

Diana Ramasauskaite et al. Int J Gynaecol Obstet. 2023 Oct.

Abstract

Elective cesarean delivery on maternal request is a challenging topic of discussion for patients, their families, and clinicians. Efforts to reduce the rate of cesarean deliveries should include the proportion of cesarean deliveries at term that occur solely due to maternal request rather than a maternal or fetal indication. Additionally, clinicians should follow good clinical practice, which includes family counseling, discussions on the benefits and potential risks of elective cesarean delivery, timing of delivery, and ethical and legal considerations. Furthermore, there is the need for a sustained workforce of perinatal clinicians and staff trained in the appropriate technique and management of operative complications. This article reviews global rates of elective cesarean on maternal request and outlines FIGO's good practice recommendations for counseling expectant mothers and the conduct of elective cesarean versus vaginal delivery.

Keywords: cesarean delivery; elective cesarean; maternal request.

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References

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