Public health implications of cesarean on demand

Obstet Gynecol Surv. 2006 Dec;61(12):807-15. doi: 10.1097/01.ogx.0000248826.44123.73.


Cesarean rates have been rising in the United States. Recently, there has been an upsurge of interest in "cesarean on maternal request" in the absence of any medical indication, a phenomenon that will further increase the cesarean rate. This trend may not be benign on a population basis, and reliable data are lacking. This article reviews reasons for the increasing cesarean rate, describes maternal and neonatal consequences likely to accrue with a policy of cesarean on demand, and explores larger implications for public health.

MeSH terms

  • Cesarean Section / adverse effects
  • Cesarean Section / psychology
  • Cesarean Section / statistics & numerical data*
  • Female
  • Health Policy*
  • Humans
  • Patient Acceptance of Health Care
  • Patient Satisfaction*
  • Pregnancy
  • Pregnancy Outcome / psychology
  • Public Health / trends
  • United States