Can I have a cesarean section at the request of the patient?
The process of giving birth has always been a thrilling moment for every mother. If there are no complications of pregnancy, labor is generally done normally through the vagina. However, not a few pregnant women who avoid the experience of normal labor and prefer to give birth by cesarean section.
Basically, the patient has the right to choose the type of labor that will be done as desired. Medically and ethically, obstetricians can perform cesarean section at the request of the patient, even without indication, as long as the patient has been given an explanation of the benefits and risks of this procedure.
Type of Childbirth Must Be in Accordance with the Patient’s Condition
Even though the patient has the right to be actively involved in choosing the delivery method, the doctor will still check the patient’s overall condition before determining the type of delivery. The doctor will also consider the magnitude of the benefits and risks that may occur from the type of delivery chosen.
If the doctor does not find special indications that require the patient to undergo a caesarean section and normal delivery is safe, the doctor must recommend a normal delivery. Caesarean section can still be done if the patient asks and the patient’s condition allows.
There are several things that doctors consider in determining the delivery method for patients, including:
Patient’s health condition
Patient body mass index
The patient’s next pregnancy plan
Previous work experience
Previous surgery history
Patient’s views and feelings about childbirth
In addition to some of the above, the doctor must also know the patient’s motivation behind his decision to choose a cesarean section. The doctor must ensure that the method of delivery chosen really comes from the patient’s wishes, not because of pressure or pressure from family members.
Benefits and Risks of Caesarean section regarding Patient Requests
In many cases, patients prefer to give birth by cesarean section because of fear of illness, normal labor processes and complications, and experience trauma due to bad experiences in previous normal labor.
As explained earlier, cesarean section at the request of the patient can be done if the doctor considers the benefits outweigh the risks. There are several benefits that can be felt from a caesarean section at the request of the patient, including:
Delivery time is more certain
Avoid births per month (postmature)
The risk of requiring emergency (unplanned) operations is lower
The risk of stillbirth is lower
The risk of pelvic floor injury is lower
The risk of postpartum hemorrhage is lower
Despite having a number of advantages, cesarean section also has several risks, including:
Uterine rupture (uterine rupture)
Complications due to anesthesia
The recovery period after labor is longer
Long-term complications due to surgery
Respiratory disorders in infants
However, this risk can be minimized by proper examination and preparation before a caesarean section is performed.
Regardless of whether a cesarean section can be performed at the request of the patient, make sure you regularly check your pregnancy to the doctor at least once a month. Ask your doctor about the benefits and risks that might occur if you give birth by cesarean section.
If the condition of your pregnancy is considered healthy and there is no risk of complications, your obstetrician can schedule a cesarean section at 39 to 40 weeks’ gestation. At that time, the risk of complications in the fetus was relatively smaller, the condition of the fetus was also considered mature and ready to be born.