Elective Cesarean Sections

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A growing number of women are asking their doctors for c-sections when there is no medical reason. Some women want a cesarean section because they fear the pain of childbirth. Others like the convenience of being able to decide when and how to deliver their baby. Still others fear the risks of vaginal delivery including tearing and sexual problems.

Delivery of a newborn via cesarean section

1 Ethical questions
2 Cons
3 Pros
4 Cesarean Section Scars

[edit] Ethical questions

Is it safe and ethical for doctors to allow women to make medical decisions? The answer is unclear. Only more research on both types of deliveries will provide the answer. In the meantime, many obstetricians feel it is their ethical obligation to talk women out of elective c-sections. Others believe that women should be able to choose a cesarean section if they understand the risks and benefits.

[edit] Cons

Experts who believe cesarean sections should only be performed for medical reasons point to the risks. Cesarean sections can be dangerous for the mother and baby. This major surgery increases the risk of infection, bleeding and pain in the mother. C-sections also increase the risk of problems in future pregnancies. Women who have had cesarean sections have a higher risk of uterine rupture. If the uterus ruptures, the life of the baby and mother is in danger. Babies born by cesarean section have more breathing problems right after birth and are very rarely cut during the surgery.

[edit] Pros

Supporters of elective c-sections say that this surgery may protect a woman's pelvic organs, reduces the risk of bowel and bladder problems, and is as safe for the baby as vaginal delivery. The American College of is not opposed to elective c-sections. ACOG states that "if the physician believes that (cesarean) delivery promotes the overall health and welfare of the woman and her fetus more than vaginal birth, he or she is ethically justified in performing" a cesarean section.