Support for Elective C-Section

Should a woman have a right to demand a cesarean section delivery simply because she does not want to deliver vaginally? Many issues surround the concept of "elective" C-section (or, C-section on demand) in women without such medical indications as a nonvertex presentation, previous C-section, or prior perineal or pelvic reconstructive surgery. Below, one physician offers his argument in support of elective C-section. For a different take, please see the accompanying Journal Watch Women's Health article, The Argument Against C-Section on Demand.

— Sandra Ann Carson, MD

Pregnancy and vaginal delivery are associated with an increased incidence of urinary incontinence, fecal incontinence, and genital prolapse secondary to pudendal-nerve injury w…