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Related Experiment Videos

Physicians' responses to patient-requested cesarean delivery.

Chiara Ghetti1, Benjamin K S Chan, Jeanne-Marie Guise

  • 1Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, 97239-3098, USA.

Birth (Berkeley, Calif.)
|November 30, 2004
PubMed
Summary

Physicians are hesitant to perform cesarean deliveries requested by patients without clear medical reasons. Male physicians showed a greater likelihood of agreeing to these requests compared to female physicians.

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Area of Science:

  • Obstetrics and Gynecology
  • Medical Ethics
  • Patient Autonomy

Background:

  • Debate exists regarding patient autonomy in childbirth, specifically elective cesarean delivery without medical indications.
  • Understanding physician decision-making in these cases is crucial for patient care and ethical considerations.

Purpose of the Study:

  • To investigate factors influencing obstetrician-gynecologists' decisions regarding patient-requested cesarean delivery.
  • To identify physician characteristics and patient factors associated with agreement to elective cesarean delivery.

Main Methods:

  • A survey was distributed to obstetrician-gynecologists in the Portland, Oregon metropolitan area in Spring 2000.
  • Physicians responded to hypothetical scenarios involving term singleton pregnancies requesting primary cesarean delivery.

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Main Results:

  • 67% of surveyed physicians responded.
  • While most agreed to cesarean delivery with clear medical indications, most would not perform it without.
  • Physician male gender and patient high socioeconomic status were linked to increased agreement with patient-requested cesarean delivery.

Conclusions:

  • Physicians generally resist performing cesarean deliveries requested by patients without clear medical necessity.
  • Male physicians were more inclined than female physicians to agree to patient-requested cesarean deliveries.