A 41-year-old woman at 39 weeks requests a caesarean section because she is frightened of labour after a previous traumatic birth. There is no

Question

A 41-year-old woman at 39 weeks requests a caesarean section because she is frightened of labour after a previous traumatic birth. There is no obstetric indication for caesarean birth. What is the most appropriate management?

Accepted Answer

Explore her reasons and arrange senior obstetric counselling

Answer

Advise private caesarean birth as the safer route

Answer

Decline the request because there is no medical indication

Answer

Book induction of labour without further discussion

Answer

Refer to psychiatry before any birth planning discussion

Maternal request caesarean — DRCOG MCQ

A 41-year-old woman at 39 weeks requests a caesarean section because she is frightened of labour after a previous traumatic birth. There is no obstetric indication for caesarean birth. What is the most appropriate management?