patient choice cs is such a interesting term. here's some research on the subject. health professionals have such an influence on this and then turn around and say "pt choice" and when i say hps i mean all of us, not just drs. apologies for double posting....
a critique of the literature on women's request for cesarean section.
gamble j, creedy dk, mccourt c, weaver j, beake s.
research centre for clinical and community practice innovation, griffith university, brisbane, australia.
background: the influence of women's birth preferences on the rising cesarean section rates is uncertain and possibly changing. this review of publications relating to women's request for cesarean delivery explores assumptions related to the social, cultural, and political-economic contexts of maternity care and decision making. method: a search of major databases was undertaken using the following terms: "c(a)esarean section" with "maternal request,""decision-making,""patient participation,""decision-making-patient,""patient satisfaction,""patient preference,""maternal choice,""on demand," and "consumer demand." seventeen papers examining women's preferred type of birth were retrieved. results: no studies systematically examined information provided to women by health professionals to inform their decision. some studies did not adequately acknowledge the influence of obstetric and psychological factors in relation to women's request for a cesarean section. other potential influences were poorly addressed, including whether or not the doctor advised a vaginal birth, women's access to midwifery care in pregnancy, information provision, quality of care, and cultural issues. discussion: the psychosocial context of obstetric care reveals a power imbalance in favor of physicians. research into decision making about cesarean section that does not account for the way care is offered, observe interactions between women and practitioners, and analyze the context of care should be interpreted with caution.
women's preference for a cesarean section: incidence and associated factors.
gamble ja, creedy dk.
faculty of nursing and health, griffith university, logan campus, university drive, meadowbrook, queensland 4131, australia.
background: few studies have examined women's preferences for birth. the object of this study was to determine the incidence of women's preferred type of birth, and the reasons and factors associated with their preference. methods: three hundred and ten women between 36 and 40 weeks' gestation were recruited from the antenatal clinic of a major metropolitan teaching hospital and the consulting rooms of six private obstetricians in brisbane, australia. participants completed a questionnaire asking about their preferred type of birth, reasons for their preference, preparation for childbirth, level of anxiety and concerns, and the influence of the primary caregiver. results: two hundred and ninety women (93.5%) preferred a spontaneous vaginal birth; 20 women (6.4%) preferred a cesarean section. of the latter group, most had a current obstetric complication or experienced a previously complicated delivery (p