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Title: Is it the decision of women to choose a cesarean section as the mode of birth? A review of literature on the views of stakeholders
Authors: Loke, AY 
Davies, L 
Mak, YW 
Issue Date: 2019
Source: BMC pregnancy and childbirth, 9 Aug. 2019, v. 19, no. 1, 286, p. 1-9
Abstract: Background A debate on the decision of women to choose a cesarean section as the mode of birth in uncomplicated pregnancies from the views of relevant stakeholders.
Main text Using five electronic databases, a literature search was conducted for studies published from January 2003 to December 2016. Studies on a woman's right to request or to choose a cesarean section as the mode of birth in uncomplicated pregnancies were included. Fifty-five articles were identified (39 research studies and 16 opinion-based articles). Among health professionals, obstetricians were the most supportive of this right. It is argued that although women reported wanting to choose the mode of birth, with the safety of their babies as the priority, they also relied on the advice of their maternity care provider and considered it the responsibility of their obstetrician to make the decision. A higher proportion of the general public in countries with well-developed private healthcare accepted that a woman should have the freedom to choose the mode of birth.
Conclusions This review provided a debate on the choice of pregnant women in uncomplicated pregnancies on the mode of birth from various stakeholders. Further research is required to explore what the meanings of autonomy of pregnant women to choose the mode of birth, and the process that they go through when making this decision.
Keywords: Cesarean
Choice of birth
Maternal request
Decision-making
Publisher: BioMed Central
Journal: BMC pregnancy and childbirth 
EISSN: 1471-2393
DOI: 10.1186/s12884-019-2440-2
Rights: © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated
The following publication Loke, A. Y., Davies, L., & Mak, Y. W. (2019). Is it the decision of women to choose a cesarean section as the mode of birth? A review of literature on the views of stakeholders. BMC Pregnancy and Childbirth, 19(1), 286, 1-9 is available at https://dx.doi.org/10.1186/s12884-019-2440-2
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