TEMPLATE DESIGN © CAESAREAN DELIVERY ON MATERNAL REQUEST Dr Faiqa Awais Tullah Consultant Ob/Gynae AFH KANB AlJubail KSA. Co Authors Dr Attiqa Muzzamil, Dr Asif Hashmi, Dr Hafiz Fatimah, Dr Shamila Habib,Dr Rubana Rana, Dr Umer Qasim Armed Forces Hospital, King Abdul-Aziz Naval Base, Jubail, Saudi Arabia Objectives ResultsConclusions References 1-Morrison J, MacKenzie IZ.. Caesarean section on demand.Nuffield Department ofMorrison JMacKenzie IZ Obstetrics and Gynaecology, John Radcliffe Hospital, Oxford, United Kingdom. 2- Nama V, Wilcock F. Caesarean section on maternal request: is justification necessary? The Obstetrician & Gynaecologist 2011;13:263– Zhang J, Liu Y, Meikle S, Zheng J, Sun W, Li Z. (2008). "Cesarean delivery on maternal request in southeast China". Obstet Gynecol 111 (5): 1077–82. 4-MacDorman, MF; Declercq, E; Menacker, F; Malloy, MH (2008). "Neonatal Mortality for Primary Cesarean and Vaginal Births to Low-Risk Women: Application of an "Intention-to-Treat" Model". Birth 35 (1): 3–8. 5-Tore Nilstun 1 *, Marwan Habiba 2, Göran Lingman3, Rodolfo Saracci 4, Monica Da Frè5, Marina Cuttini6 and the EUROBS study group Cesarean delivery on maternal request: Can the ethical problem be solved by the principlist approach? BMC To find out the total number of women requesting for caesarean delivery without any medical or obstetrical indication at term with singleton cephalic pregnancy About 2(9 percent) we could not be able to find the reason Only 1(4.5 percent) mother refused for further induction of labour and requested for LSCUntil quality evidence becomes available, any decision to perform a cesarean delivery on maternal request should be carefully individualized and consistent with ethical principles.The risks of placenta previa and accreta rise with each cesarean delivery, cesarean delivery on maternal request is not recommended for women desiring several children. In accordance with global change CDMR rates in our studies are also increased. Methods STUDY DESIGN Observational study SETTINGS Armed Forces Hospital King Abdul Aziz Naval Base Al Jubail KSA DURATION August 2011 to April 2012 All pregnant women coming for antenatal checkups and delivery in the hospital either booked or unbooked were included in the study. Total number of women requesting for caesarean delivery without any medical or obstetrical indication at term with singleton cephalic pregnancy were calculated SAMPLING TECHNIQUE Data were collected from hospital log book Total number of deliveries conducted in the department during this period were 791 SVDs were 482(60 percent) LSCS were 233(29.4 percent) instrumental deliveries were 24(3 percent) 22 mothers wanted CDMR, 9.4 percent of all LSCS and 2.7 percent of all deliverieson exploring reasons 10(45.45 percent) were afraid of spontaneous vaginal delivery and consequences like fear of labour, fear of failure, fear of backache or fear of pelvic floor organ damage. 5(22.72 percent) were afraid of induction of labour and its consequences like longer time, more pain and failure resulting in emergency LSC. Regarding previous mode of delivery 8(36.3 percent) patients had previous 1 LSCS for non recurrent reason 13(59 percent) mothers had all previous Spontaneous vaginal deliveries Out of them 6(27.27 percent) mothers were postdates, and 16(72.72 percent) were at term2(9 percent) wanted to have bilateral tubal ligation and opted LSCS as a single practical solutionAbout 2(9 percent) we could not be able to find the reason Only 1(4.5 percent) mother refused for further induction of labour and requested for LSCS.