Discuss the clinical reasons for cesarean delivery rather than requesting surgery solely for a preferred date
WHO's population analysis found lower maternal and newborn mortality as cesarean rates rose toward about 10%, but no evidence of further mortality reduction above that level. This is a population finding, not an individual quota. A medically needed cesarean can be lifesaving. A request based only on a preferred date or fear of pain deserves a discussion of alternatives and the risks of major abdominal surgery.
What it takes
No cost to discuss the decision. Family pressure can be difficult to manage.
What you may gain
WHO's 2015 statement reported that, at population level, maternal and neonatal mortality decreases as cesarean rates rise toward about 10%. Above that level, there was no evidence of additional mortality improvement. WHO emphasized making every effort to provide cesareans to those who need them rather than striving for a specific rate.
Context & considerations
When clinically necessary, a cesarean is a lifesaving operation and should not be resisted simply to avoid surgery. The source cautions against surgery without medical need solely because of pain fears, an auspicious time, or a school-entry age cutoff. Recovery from abdominal surgery is generally longer, and future pregnancy risks include placenta previa, placenta accreta, and uterine rupture. These considerations matter when planning another child; the decision should address the individual's circumstances.
Research & references
World Health Organization (2015). WHO Statement on Caesarean Section Rates, WHO/RHR/15.02. https://www.who.int/publications/i/item/WHO-RHR-15.02