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Created on : 02 Dec 2004
Modified on : 01 Dec 2007

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Bibliographical entry (without author) :

Letter. Making sense of rising caesarean section rates. Trials and speaking with patients take time. The British Medical Journal 2004;329:1240.

Author(s) :

Gorincour G.

Year of publication :

2004

URL(s) :

http://bmj.bmjjournals.com/cgi/content/full/329/74…

Résumé (français)  :

Reponse a l’editorial fiche 904.

Abstract (English)  :

EDITOR—We agree with Anderson that we should have a more comprehensive and frank debate about the ethical issues related to the role of doctors, preferences of patients, and informed consent with respect to caesarean section.1 In response to Minkoff et al,2 we argued that not offering caesarean section was incompatible with the principle of autonomy.3

Particularly in English speaking countries, the historical role of the doctor is changing, thanks to the increasing reliance on a model where the patient is seen as the consumer and the doctor as supplier of services.4 The paternalistic model is still strong in Europe, and the debate about caesarean section may simply reflect today’s difficulties in building a new form of doctor-patient relationship.

Nowadays, trust is not enough for patients: they need proof and evidence. But medicine is both an art and a science, and sometimes there is no clear proof or evidence. Is trust still possible at the very time a major medical liability crisis is happening worldwide?5 Answering this question may be as long, difficult, and important as waiting for the results of any randomised controlled trial.

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Keywords :

➡ c-section/caesarean ; ethics ; deontology ; informed consent

Author of this record :

Cécile Loup — 02 Dec 2004
➡ latest update : Bernard Bel — 01 Dec 2007