The Decision for Cesarean Birth

Any decision for cesarean birth is best viewed in light of the outcomes a woman can expect for herself and her child. If surgery were without risk, rates of morbidity and mortality for mother and baby were reduced, and long-term outcomes were improved, then elective cesarean section might represent an expensive but reasonable option. As yet, data do not support promises of more favorable outcomes any more than they negate risk of surgery. Cesarean has become a valuable option when clinical findings contraindicate safe vaginal birth. However, it remains incumbent on the family and the clinician to make a compelling argument for cesarean over vaginal birth based on their individual needs.