Columbus: cesarean section upon maternal request

Question 1

What are the ethical principles involved in cesarean section upon maternal request?

Answer 1

Patient autonomy and non-maleficence

Question 2

What are the ACOG recommendations regarding cesarean upon maternal request?

Answer 2

Should not be performed less than 39 weeks
Should not be motivated by unavailability of effective pain management
Is not recommended for women desiring several children due to increased risk for previa, accreta, and hysterectomy