27-010 · EVIDENCE A · SOURCE-SENSITIVE
Don’t request a C-section without medical indication, and avoid scheduling one just to pick a “lucky” date
没有医学指征就别主动要求剖宫产，也别为了挑日子开刀
No direct cost. The real challenge is resisting pressure from family members.
According to the World Health Organization, once the C-section rate in a region exceeds 10%, further reductions in maternal and neonatal mortality become unlikely. When a C-section is medically necessary, it must be performed. However, opting for one solely to choose a favorable date or to avoid labor pain means undergoing a major abdominal operation for no real reason.
A
Move “Don’t request a C-section without medical indication, and avoid scheduling one just to pick a “lucky” date” to Future Me's calendar
The excuse
I can spend longer deciding whether to start than the small action would take.
What feels good now
Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.
What the source says
The source summarizes the return this way: “According to the World Health Organization, once the C-section rate in a region exceeds 10%, further reductions in maternal and neonatal mortality become unlikely. When a C-section is medically necessary, it must be performed. However, opting for one solely to choose a favorable date or to avoid labor pain means undergoing a major abdominal operation for no real reason.” Evidence grade A. The original states the population, caveats, and sources; this is not a personal forecast.
Use the original facts and limits. For an urgent medical, safety, financial, or legal issue, contact a qualified local professional or service.
THE ENGLISH EDITION
Original recommendation and evidence
10. Don’t request a C-section without medical indication, and avoid scheduling one just to pick a “lucky” date
Cost: No direct cost. The real challenge is resisting pressure from family members.
In plain terms: According to the World Health Organization, once the C-section rate in a region exceeds 10%, further reductions in maternal and neonatal mortality become unlikely. When a C-section is medically necessary, it must be performed. However, opting for one solely to choose a favorable date or to avoid labor pain means undergoing a major abdominal operation for no real reason.
Benefit: A 2015 WHO statement notes that when C-section rates rise to roughly 10% in a population, maternal and neonatal deaths decline. Beyond that threshold, there is no evidence of additional mortality benefits. WHO also stresses that every effort should be made to provide C-sections to women who truly need them, rather than aiming for a specific percentage target.
Evidence grade: A
Notes: This guidance does not oppose C-sections. When medically warranted, they are life-saving procedures and should be performed without hesitation. What it discourages is undergoing a C-section when there is no medical need—such as to avoid labor pain, to pick an auspicious date, or to influence a child’s future age for school enrollment. The trade-offs are significant: C-sections are major abdominal surgeries with slower recovery times, and they increase risks of placenta previa, placenta accreta, and uterine rupture in subsequent pregnancies—factors that may affect a woman’s decision to have more children.
Sources: 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>
Read the complete Chinese source and notes
10. 没有医学指征就别主动要求剖宫产，也别为了挑日子开刀
成本: 不花钱。难在顶住家里人的说法
说人话: 世界卫生组织的说法是，一个地方的剖宫产比例超过 10% 以后，母亲和新生儿的死亡就不再继续下降。该剖的一定要剖。为了挑日子、怕疼去剖，只是白挨一次腹部大手术。
收益: 世界卫生组织 2015 年的声明：一个人群里的剖宫产率上升到约 10% 时，孕产妇和新生儿的死亡数会下降。超过 10% 之后，没有证据显示死亡率还能进一步改善。世界卫生组织同时强调，应当尽一切努力，为有需要的产妇提供剖宫产，而不是为了凑某个特定的比率
证据等级: A
来源: 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>
备注: 医学上确实需要的时候，剖宫产是救命手术，该做就做，别硬扛。要避免的是医学上并不需要还去开刀，比如怕疼、挑吉时、算孩子上学的年龄。剖宫产是腹部大手术，恢复更慢，下一胎出现前置胎盘、胎盘植入和子宫破裂的风险更高。这直接影响你还想不想生第二个
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