Recognizing cesarean delivery on maternal request as a social problem: utilizing the public arenas model

Policy Polit Nurs Pract. 2011 Aug;12(3):168-74. doi: 10.1177/1527154411424617. Epub 2011 Oct 17.


Nearly one in three babies in the United States are now born surgically. While many causes for this surge in cesareans have been suggested, the phenomenon of cesarean delivery on maternal request (CDMR) has been the subject of the most controversy. Utilizing Hilgartner and Bosk's public arenas model, this article examines the ways in which CDMR has been framed and a collective definition of the problem established. Recognizing CDMR as a social problem is the first step to creating policies to ensure that the health and safety of mothers and babies are protected.

MeSH terms

  • Cesarean Section / statistics & numerical data*
  • Female
  • Humans
  • Infant, Newborn
  • Maternal Welfare
  • Models, Organizational
  • Mothers / psychology*
  • Patient Preference / statistics & numerical data*
  • Policy Making
  • Pregnancy
  • Risk Assessment
  • Social Problems
  • United States