Maternal and Neonatal Outcomes of Caesarean Delivery on Maternal Request Versus Vaginal Delivery

Background: The prevailing opinion regarding CS indications has been altered in numerous countries due to advancements in scientific knowledge and societal, cultural, and legal transformations. Aim and objectives: To compare neonatal & maternal outcomes among females who underwent cesarean delivery on their requests versus women who delivered vaginally. Patients and methods: This case-control study involved two hundred pregnant women with a single pregnancy and delivered at term (among ≥ thirty-seven weeks’ and ≤ forty-two weeks’ gestation) at Al-Hussein University Hospital from November 2022 to April 2023. Results: There was statistically significant higher post-partum hemorrhage in vaginal delivery than cesarean delivery on maternal request p-value= 0.017. However, no statistically significant difference among cesarean delivery on maternal request vs. vaginal delivery as regards the need for a blood transfusion, need for ICU admission, chorioamnionitis, and local wound infection p= (0.097, 0.561, 0.316, 0.313) respectively. There was a statistically significant worsening of respiratory issues (respiratory distress due to transient tachypnea of newborn) p-value = 0.045 and higher breast-feeding delay in cesarean delivery on maternal request than vaginal delivery p<0.0001. Conclusion: When compared to vaginal births, cesarean sections doubled the rate of transfer to the neonatal ICU & the risk of pulmonary problems. Postpartum hemorrhage and difficulties with nursing were among the maternal complications that were more common after cesarean sections