CDMR Informed Consent Generator

A structured, evidence-based consent document for cesarean delivery on maternal request

What this tool does

This tool drafts an informed consent document for a patient requesting Cesarean Delivery on Maternal Request (CDMR) — a primary cesarean performed at the patient's request in the absence of maternal or fetal medical indications.

The output is written at a 6th- to 8th-grade reading level, consistent with CDC and NIH health literacy recommendations, and covers maternal risks, neonatal risks, alternatives (trial of labor), and the preventive ethics framing of professional responsibility in CDMR counseling.

The LLM drafts; the physician counsels. This document is a starting point for the informed consent conversation — not a substitute for it.

Patient Information

No patient data leaves this browser. All processing is local.

Patient Name (optional — leave blank for "the patient")

Date of Birth / Age (optional)

Age (or DOB) — both are acceptable.

Estimated Due Date (EDD) (optional)

Parity (optional — e.g., G1P0)

Patient's stated reason(s) for requesting CDMR (optional)

Chervenak et al. emphasize motivational interviewing — the reasons matter and should be documented in the patient's own words where possible.

Planned Delivery Date (optional — ≥ 39 0/7 weeks)

Per ACOG 761: not before 39 weeks absent other indications.

Counseling Physician (optional)

Future reproductive plans (informs cumulative risk counseling)

Cumulative cesarean risks (placenta previa, accreta spectrum, gravid hysterectomy) escalate with each cesarean — this shapes the counseling weight.

Structured counseling elements completed

Check each element of the preventive-ethics framework (Chervenak et al., 2026) that has been addressed in the counseling conversation.

Motivational interviewing completed — reasons for request explored with open-ended, nonjudgmental questions.

Trauma-informed screening considered — history of prior birth trauma, sexual trauma, or tokophobia assessed.

Medical/obstetric history reviewed — comorbidities (BMI, HTN, diabetes) that affect surgical risk considered.

Future reproductive plans discussed — cumulative cesarean risks explained in that context.

Alternatives offered — enhanced labor support, doula, epidural/analgesia options, psychological support, pelvic floor PT.

Teach-back method used — patient asked to explain the key risks and benefits in her own words.

Clinical decision support tool. Does not replace clinical judgment or institutional consent forms. Physician must review every generated document for completeness of disclosure, accuracy of risk communication, and alignment with the informed consent standard before it reaches the patient.