Affiliation:
1. Department of Anatomical, Histological, Medico‐Legal and Orthopaedic Sciences Sapienza University of Rome Rome Italy
2. Department of Clinical Sciences and Translational Medicine TorVergata University of Rome Rome Italy
Abstract
AbstractRationale, Aims and ObjectivesCaesarean delivery carries a higher risk of short‐ and long‐term complications for both mother and baby than vaginal delivery. However, over the past two decades, data show a considerable increase in requests for Caesarean sections. This manuscript analyses the case of Caesarean Section on maternal request without a clinical indication from a medico‐legal and ethical perspective.MethodMedical associations and bodies databases were searched for published guidelines and recommendations on the use of caesarean sections on maternal requests. As derived from the literature, medical risks, attitudes, and reasons for this choice have also been summarized.ResultsInternational guidelines and medical associations recommend strengthening the doctor‐patient relationship by setting up an information process to make the pregnant woman understand the danger of Caesarean delivery without clinical indications and to make her consider whether she can survive natural childbirth.ConclusionCaesarean section on maternal request and without clinical indications is an emblematic case of how the physician could be between two opposing interests. Our analysis shows that if the woman's rejection of natural birth persists and clinical indications for Caesarean delivery are lacking, the physician must respect the patient's choice.
Subject
Public Health, Environmental and Occupational Health,Health Policy
Cited by
2 articles.
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