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dc.contributor.authorMcCourt, Chris
dc.contributor.authorWeaver, Jane
dc.contributor.authorStatham, Helen
dc.contributor.authorBeake, Sarah
dc.contributor.authorGamble, Jenny
dc.contributor.authorCreedy, Debra K
dc.contributor.editorDiony Young
dc.date.accessioned2017-05-03T12:15:18Z
dc.date.available2017-05-03T12:15:18Z
dc.date.issued2007
dc.date.modified2013-07-30T23:56:06Z
dc.identifier.issn0730-7659
dc.identifier.doi10.1111/j.1523-536X.2006.00147.x
dc.identifier.urihttp://hdl.handle.net/10072/19194
dc.description.abstractBackground: The cesarean section rate continues to rise in many countries with routine access to medical services, yet this increase is not associated with improvement in perinatal mortality or morbidity. A large number of commentaries in the medical literature and media suggest that consumer demand contributes significantly to the continued rise of births by cesarean section internationally. The objective of this article was to critically review the research literature concerning women's preference or request for elective cesarean section published since that critiqued by Gamble and Creedy in 2000. Methods: A search of key databases using a range of search terms produced over 200 articles, of which 80 were potentially relevant. Of these, 38 were research-based articles and 40 were opinion-based articles. A total of 17 articles fitted the criteria for review. A range of methodologies was used, with varying quality, making meta-analysis of findings inappropriate, and simple summaries of results difficult to produce. Results: The range and quality of studies had increased since 2001, reflecting continuing concern. Women's preference for cesarean section varied from 0.3 to 14 percent; however, only 3 studies looked directly at this preference in the absence of clinical indications. Women's preference for a cesarean section related to psychological factors, perceptions of safety, or in some countries, was influenced by cultural or social factors. Conclusions: Research between 2000 and 2005 shows evidence of very small numbers of women requesting a cesarean section. A range of personal and societal reasons, including fear of birth and perceived inequality and inadequacy of care, underpinned these requests.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoen_US
dc.publisherWiley-Blackwell Publishing Inc
dc.publisher.placeUnited States
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom65
dc.relation.ispartofpageto79
dc.relation.ispartofissue1
dc.relation.ispartofjournalBirth: Issues in Perinatal Care
dc.relation.ispartofvolume34
dc.rights.retentionY
dc.subject.fieldofresearchMedical and Health Sciences
dc.subject.fieldofresearchcode11
dc.titleElective cesarean section and decision making: a critical review of the literature
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.date.issued2007
gro.hasfulltextNo Full Text
gro.griffith.authorGamble, Jenny A.
gro.griffith.authorCreedy, Debra K.


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