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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 indications as a nonvertex presentation, previous C-section, or prior perineal or pelvic reconstructive surgery. Below, one physician offers his argument against C-section on demand. For a different take, please see the accompanying Journal Watch Women's Health article, Support for Elective C-Section.
— Sandra Ann Carson, MD
The purported advantages of elective C-section are a reduction in unexplained stillbirth both intrapartum and during the last 1-3 weeks of pregnancy; the prevention of adverse maternal or fetal event…