+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Women's preference for caesarean section: a systematic review and meta-analysis of observational studies



Women's preference for caesarean section: a systematic review and meta-analysis of observational studies



Bjog 118(4): 391-399



The striking increase in caesarean section rates in middle- and high-income countries has been partly attributed to maternal request. We conducted a systematic review and meta-analysis of women's preferences for caesarean section. To review the published literature on women's preferences for caesarean section. A systematic search of MEDLINE, EMBASE, LILACS and PsychINFO was performed. References of all included articles were examined. We included studies that quantitatively evaluated women's preferences for caesarean section in any country. We excluded articles assessing health providers' preferences and qualitative studies. Two reviewers independently screened abstracts of all identified citations, selected potentially eligible studies, and assessed their full-text versions. We conducted a meta-analysis of proportions, and a meta-regression analysis to determine variables significantly associated with caesarean section preference. Thirty-eight studies were included (n = 19,403). The overall pooled preference for caesarean section was 15.6% (95% CI 12.5-18.9). Higher preference for caesarean section was reported in women with a previous caesarean section versus women without a previous caesarean section (29.4%; 95% CI 24.4-34.8 versus 10.1%; 95% CI 7.5-13.1), and those living in a middle-income country versus a high-income country (22.1%; 95% CI 17.6-26.9 versus 11.8%; 95% CI 8.9-15.1). Only a minority of women in a wide variety of countries expressed a preference for caesarean delivery. Further research is needed to better estimate the contribution of women's demand to the rising caesarean section rates.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 056957381

Download citation: RISBibTeXText

PMID: 21134103

DOI: 10.1111/j.1471-0528.2010.02793.x


Related references

Caesarean section in uninsured women in the USA: systematic review and meta-analysis. Bmj Open 9(3): E025356, 2019

Concerning the timing of antibiotic administration in women undergoing caesarean section: a systematic review and meta-analysis. Bmj Open 3(4):, 2013

Does induction of labour increase the risk of caesarean section? A systematic review and meta-analysis of trials in women with intact membranes. Bjog 121(6): 674-85; Discussion 685, 2014

Chewing gum in preventing postoperative ileus in women undergoing caesarean section: a systematic review and meta-analysis of randomised controlled trials. Bjog 121(7): 793-9; Discussion 799, 2014

Preference for colonoscopy versus computerized tomographic colonography: a systematic review and meta-analysis of observational studies. Journal of General Internal Medicine 27(10): 1349-1360, 2012

The impact of neuraxial clonidine on postoperative analgesia and perioperative adverse effects in women having elective Caesarean section-a systematic review and meta-analysis. British Journal of Anaesthesia 120(2): 228-240, 2018

Cigarette smoking and testosterone in men and women: A systematic review and meta-analysis of observational studies. Preventive Medicine 85: 1-10, 2016

The use of O-ring retractors at Caesarean section : A systematic review and meta analysis. European Journal of Obstetrics Gynecology and Reproductive Biology 228: 209-214, 2018

Meta-analysis of published studies or meta-analysis of individual data? Caesarean section in HIV-positive women as a study case. Public Health 117(5): 323-328, 2003

Prevalence of Female Sexual Dysfunction Among Premenopausal Women: A Systematic Review and Meta-Analysis of Observational Studies. Sexual Medicine Reviews 4(3): 197-212, 2016

Association between caesarean section and childhood obesity: a systematic review and meta-analysis. Obesity Reviews 16(4): 295-303, 2015

Impact of Caesarean section on subsequent fertility: a systematic review and meta-analysis. Human Reproduction 28(7): 1943-1952, 2013

Adhesion formation after previous caesarean section-a meta-analysis and systematic review. Bjog 118(4): 410-422, 2011

Caesarean section and subsequent ectopic pregnancy: a systematic review and meta-analysis. Bjog 120(6): 671-680, 2013

Obesity as an independent risk factor for elective and emergency caesarean delivery in nulliparous women--systematic review and meta-analysis of cohort studies. Obesity Reviews 10(1): 28-35, 2009