Dr Lesley Roberts, Consultant Obstetrician & Gynecologist shares her thoughts on cesarean section and maternal requests.
'Since the change in the NICE guideline we have seen increasing numbers of ladies requesting and even demanding elective LSCS.
Some trusts have decided to deny such requests.
We are in Surrey and recently I have been approached from ladies in other counties many miles from us whose requests have been denied.
We need to have a much better debate around the whole issue of choice in childbirth. We have something like a postcode lottery in relation to what is and is not available to mothers and their partners.
The litigation costs are very high when things do not go well, and many women (and men) suffer the psychological consequences of a birth that did end up being as they had hoped.
I suspect if all ladies were given the option many more would request a caesaerean section.
I am not in the caesarean for all camp as I personally chose to aim for a vaginal birth and was lucky enough to be able to experience the joy of homebirth as well as the unexpected need for an emergency LSCS on another occasion.
What I advocate is that there should be a choice and that choice is a fully informed one.
Lets get the debate going.'
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