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OB Guidelines Appendix G: Primary Cesarean Delivery on Maternal Request

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OB Guidelines Appendix G: Primary Cesarean Delivery on Maternal Request

Related to: Documentation, Informed Consent, Nursing, Obstetrics

Printer-friendly version of this consent form and the signature page

 

If you have never had a cesarean delivery, but have asked for one this time, then please read the following.

 

The Benefits and Risks of a Scheduled Elective Primary Cesarean Delivery

  1. A cesarean delivery can be planned.The date can be chosen. You avoid a long labor. The risks of a vaginal delivery are avoided.
  2. The most common problem with cesarean delivery is infection. The rate is higher for cesareans than for vaginal births.
  3. For the mother, blood loss is usually greater with a cesarean than with a vaginal delivery. Approximately 12 in 1,000 of all women having a cesarean need a blood transfusion.
  4. Injury to the urinary system (the bladder and drainage to and from the bladder) occurs in less than 1 in 200 women who deliver by cesarean. These problems are usually identified and repaired at the time of the cesarean.
  5. Injury to the mother’s bowel (intestines, colon, or rectum) is rare.It occurs in less than 1 in 1,000 cesareans.Such an injury will usually be recognized and fixed at the time of the cesarean.
  6. A cesarean delivery can lead to serious problems in future pregnancies. Occasionally, the placenta in a future pregnancy can implant over the old cesarean scar. This increases the risk of bleeding and premature delivery. The chance of the placenta implanting in the wrong place increases with each additional cesarean.
  7. Having had one cesarean increases the chance of having another one. Each cesarean increases the risk of scarring afterwards and may increase the difficulty of future surgeries. There is also an increased risk for rupture of the uterus during labor for women who have had a previous cesarean.
  8. Rarely, the inability to get pregnant, or chronic pelvic pain, may result from scar tissue (adhesions) that may form after cesarean delivery.
  9. Rarely, a hysterectomy (removal of the uterus) may be needed.

 

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May 1, 2014
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