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Caesarean Section on Maternal Request-Ethical and Juridic Issues: A Narrative Review
Felice Sorrentino1, Francesca Greco1, Tea Palieri1
1Department of Medical and Surgical Sciences, Institute of Obstetrics and Gynecology, University of Foggia, 71121 Foggia, Italy.
Medicina (Kaunas, Lithuania)
|September 23, 2022
Summary
Global caesarean delivery rates are rising due to complex factors including patient requests and medical practices. This review explores patient-demanded caesarean delivery reasons and strategies to reduce rates.
Area of Science:
- Obstetrics and Gynecology
- Public Health
Background:
- Worldwide caesarean delivery rates have significantly increased in recent decades.
- The underlying reasons for this trend are complex, controversial, and not fully understood by researchers.
Purpose of the Study:
- To review the factors contributing to the rise in patient-demanded caesarean sections (CDMR).
- To explore strategies for reducing overall caesarean section rates.
- To enhance patient education on the risks and benefits of caesarean delivery.
Main Methods:
- This is a review article, synthesizing existing research and literature.
- Analysis of factors influencing obstetrician decisions, patient characteristics, hospital protocols, labor induction, medico-legal concerns, and patient autonomy.
Main Results:
- The decision for caesarean delivery is multifactorial, involving clinician judgment, patient factors, institutional policies, and legal considerations.
- Increasing patient demand for caesarean sections without clear medical indications is a noted trend.
Conclusions:
- Addressing the rising caesarean section rates requires a multifaceted approach.
- Effective strategies include understanding patient motivations and improving informed consent processes regarding caesarean delivery risks and benefits.
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