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Elective Cesarean Delivery: The Pelvic Perspective

WEBER, ANNE M. MD, MS

Clinical Obstetrics and Gynecology: June 2007 - Volume 50 - Issue 2 - p 510-517
doi: 10.1097/GRF.0b013e31804c9cae
Current Controversies in Obstetrics: What Is an Obstetrician to Do?

Elective cesarean delivery, or cesarean delivery on maternal request, was the focus of a recent State-of-the-Science Conference sponsored by the National Institutes of Health. On the basis of the information from comprehensive literature review and expert speakers, the panelists determined that weak-quality evidence supported elective cesarean delivery over planned vaginal delivery for urinary incontinence, although the duration of effect is not clear. For other maternal outcomes related to pelvic floor function, including pelvic organ prolapse, fecal incontinence and other anorectal symptoms, and sexual function, weak-quality evidence did not favor either route of delivery.

Pelvic Floor Disorders Program, Contraception and Reproductive Health Branch, Center for Population Research, National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Bethesda, Maryland

Correspondence: Anne M. Weber, MD, MS, 399 Wickford Drive, Pittsburgh, PA 15238. E-mail: webera@mail.nih.gov

© 2007 Lippincott Williams & Wilkins, Inc.