Caesarean Section – Indication or Choice?

Česká verzia

Authors: P. Křepelka
Authors place of work: Katedra gynekologie a porodnictví IPVZ, Praha, ředitel doc. MUDr. J. Feyereisl, CSc. ; Ústav pro péči o matku a dítě, Praha
Published in the journal: Ceska Gynekol 2008; 73(5): 303-307
Category: Original Article

Summary

Currently, caesarean section is the most commonly indicated procedure. The proportion of caesarean deliveries continues to rise. And the spectrum of surgical indications has dramatically broadened.

This contemplation is focused on the general outcome of surgical indications.

The procedure is indicated on the basis of scientific evidence only in a limited manner, more often it is indicated on the basis of empiric results and significant subjective motivation of the participants - the indicating physician and pregnant patient.

There is insufficient proof to conclusively demonstrate an increased or decreased risk of elective caesarean section as compared to a trial of labor. Thus making it ethical and professionally acceptable to perform a caesarean section based on the wish of a competent and well-informed pregnant woman.

Key words:
autonomy, informed consensus, caesarean section, surgical indications.

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