Should women be offered elective cesarean section in the hope of preserving pelvic floor function?
- Ingrid Nygaard
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The editors of this journal have asked me to represent the “con” side of the raging elective cesarean delivery debate. The reader should note that this may not necessarily reflect my actual professional opinion which is in a state of flux given the paucity of strong medical, economic and sociological data from which to form a fact-based opinion. Having said this, however, there is no doubt that many factors exist to support the contention that a global policy of elective cesarean delivery is ill-advised.
Why do women want to consider an elective cesarean delivery—that is, a major surgical procedure done before the onset of labor for no currently known medical indication? The primary reasons given include prevention of pelvic floor disorders, such as urinary and fecal incontinence and pelvic organ prolapse, and maintenance of sexual function. Minor reasons include fear of the labor pain, scheduling issues and greater control over the delivery process.
Thus, in considering this debate, it ...
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- Should women be offered elective cesarean section in the hope of preserving pelvic floor function?
International Urogynecology Journal
Volume 16, Issue 4 , pp 253-254
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- Ingrid Nygaard (1)
- Author Affiliations
- 1. Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Iowa Carver College of Medicine, 2 BT GH, 200 Hawkins Drive, Iowa City, IA, 52242, USA