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[Elective caesarean section]
1Universitätsklinik für Frauenheilkunde, Wien, Osterreich, Germany.
Gynakologisch-Geburtshilfliche Rundschau
|May 31, 2002
Summary
Elective caesarean sections, chosen without medical necessity, are increasingly discussed. This approach, termed
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Context:
- Rising rates of caesarean sections globally necessitate a closer examination of elective procedures.
- Improvements in surgical techniques have reduced caesarean section risks, prompting re-evaluation of vaginal delivery risks.
- Increasing emphasis on patient autonomy complicates the definition of medical indications for delivery.
Purpose:
- To analyze the concept of elective caesarean sections in uncomplicated pregnancies.
- To differentiate between medically indicated and patient-choice caesarean sections.
- To advocate for the term 'elective caesarean section' over 'caesarean section on demand'.
Summary:
- Elective caesarean sections, performed without clear medical indications, are a growing topic.
- The declining risks of caesarean sections and potential risks of vaginal delivery are considered.
- Joint decision-making between obstetricians and patients is crucial, blurring the lines of 'indication'.
Impact:
- Replaces the term 'caesarean section on demand' with the more accurate 'elective caesarean section'.
- Addresses ethical considerations by framing the procedure as a joint decision.
- Potentially streamlines medical insurance coverage for elective caesarean sections.