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Titolo:
Counselling women about choice
Autore:
Harris, LH;
Indirizzi:
Univ Michigan, Dept Obstet & Gynecol, Ann Arbor, MI 48109 USA Univ Michigan Ann Arbor MI USA 48109 t & Gynecol, Ann Arbor, MI 48109 USA
Titolo Testata:
BEST PRACTICE & RESEARCH IN CLINICAL OBSTETRICS & GYNAECOLOGY
fascicolo: 1, volume: 15, anno: 2001,
pagine: 93 - 107
SICI:
1521-6934(200102)15:1<93:CWAC>2.0.ZU;2-A
Fonte:
ISI
Lingua:
ENG
Soggetto:
CESAREAN-SECTION; GESTATIONAL CONFLICTS; RISK-FACTORS; COURT; DELIVERY; OBSTETRICIANS; DECISION; BRAZIL; FETAL; INTERVENTIONS;
Keywords:
caesarean section; pregnancy; fetus; ethics; medical; patient advocacy; patient compliance; choice behaviour; surgical procedures; elective;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
69
Recensione:
Indirizzi per estratti:
Indirizzo: Harris, LH Robert Wood Johnson Clin Scholars Program, 6312 Med Sci Bldg 1,1150 W Med Ctr Dr, Ann Arbor, MI 48109 USA Robert Wood Johnson Clin Scholars Program 6312 Med Sci Bldg 1,1150 W Med Ctr Dr Ann Arbor MI USA 48109
Citazione:
L.H. Harris, "Counselling women about choice", BEST P R CL, 15(1), 2001, pp. 93-107

Abstract

Patient choice - informed consent and informed refusal - is an important ethical and legal principle in medicine. In pregnancy this issue is not straightforward: should a pregnant woman's autonomous choice be respected when she may cause fetal harm by declining recommended caesarean section? Shoulda pregnant women be free to choose elective caesarean section as an alternative to labour and vaginal delivery? This chapter reviews cases of court-ordered caesarean, and the ethical and legal paradigms for informed refusal in pregnancy. In general, clinicians should not seek court authority to support medical recommendations. This chapter also reviews arguments for and against offering women elective caesarean without strict medical indication. Although compelling arguments in favour of caesarean on demand can be made, clear evidence showing adequate safety and advantages of elective caesarean over vaginal delivery does not yet exist. Ethics, law, politics and history all inform the issue of choice with respect to caesarean in important ways.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/01/20 alle ore 07:23:31