The case against cesarean delivery on maternal request in labor

Paul Burcher, Jazmine L. Gabriel, Lisa Campo-Engelstein, Kevin C. Kiley

Research output: Contribution to journalReview article

Abstract

The ethical obligations of an obstetrician to a patient who requests a cesarean delivery without maternal or fetal indication differ depending on whether the request is made before or during labor. Informed consent is an essential dimension of respecting patient autonomy, and the process of informed consent should be extensive for a cesarean delivery in the absence of maternal or fetal indications during active labor. For this reason, physicians should rarely grant a request for cesarean delivery made during active labor. Although physicians may think that declining a request for cesarean delivery is a violation of patient autonomy, they should also be concerned about the violation of patient autonomy that results if they are unable to adequately complete the process of informed consent during labor.

Original languageEnglish (US)
Pages (from-to)684-687
Number of pages4
JournalObstetrics and gynecology
Volume122
Issue number3
DOIs
StatePublished - Sep 2013
Externally publishedYes

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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