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22/08/2018

Responses To MRCS Differ Greatly In NHS Trusts And Boards

According to research published, responses to maternal requests for CS (MRCS) are varied and differ greatly in NHS trusts and boards across the UK.

The childbirth charity Birthrights published the results of a Freedom of Information request on MRCS, revealing the process is often lengthy, difficult or inconsistent in the majority of regions.

Pregnant women in some regions who ask about the procedure are simply told to go elsewhere.

Statistics from the Birthrights report Maternal request caesarean show that 15% of trusts and boards have policies or processes that explicitly do not support MRCS, while 47% have policies or processes that are problematic or inconsistent.

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Only 26% of trusts and boards offer CS in line with NICE best-practice guidance.

NICE guidance states: "For women requesting a CS, if after discussion and offer of support… a vaginal birth is still not an acceptable option (trusts should) offer a planned CS.’"

RCM CEO Gill Walton said: "We support NICE recommendations on this issue and these are the recommendations and guidelines that midwives and doctors work with.

"Midwives should listen to women who want a caesarean section and discuss the risks and benefits of caesarean section and physiological birth in a way that is understandable and accessible to them.

"Women must be given the information to explore their views and feelings about caesarean birth, to enable them to come to an informed decision about their preferred type of birth. This information should reflect the individual woman's current and previous medical, obstetric and psychological history.

"Midwives have an important role in supporting women who request a caesarean section and respecting their reasons."

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"According to research published, responses to maternal requests for CS (MRCS) are varied and differ greatly in NHS trusts and boards across the UK."