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Created on : 10 Mar 2004
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

Planned Elective Caesarean Delivery and the Precautionary Principle. Letter. MAJ 2004;170:858.

Author(s) :

Levesque P.

Year of publication :

2004

URL(s) :

http://www.cmaj.ca/cgi/eletters/170/5/813#858

Résumé (français)  :

Abstract (English)  :

After analyzing what she considers the pros and cons of planned elective caesarean delivery versus natural vaginal birth, Dr. Hannah concludes “…if a woman without an accepted medical indication requests delivery by elective caesarean section and, after a thorough discussion about the risks and benefits, continues to perceive that the benefits to her and her child of a planned elective caesarean outweigh the risks, then most likely the overall health and welfare of the woman will be promoted by supporting her request.”[i]

The big question revolves around what can be assumed to be essential to fully informed consent. Alas, it seems to me that we only see what we want to see. Do arguments based on known comparative mortality, short term morbidity or anticipated long term morbidity for women (ie: urinary incontinence) describe the whole picture? The actual debate falls short of encompassing the full reality of the complex and incompletely understood nature of the birth phenomenon.

…

he real questions are: Can we reasonably present the elective planned caesarean section as equivalent or as a safe alternative to natural, vaginal birth ? Do we know enough to provide sufficient information to our patients to allow them to make the best choice for themselves and their children? Until we can be confident in our answers, it seems to me that the Precautionary Principle must fully apply.

Sumário (português)  :

Resumen (español)  :

Comments :

Texte en acces libre.

Argument (français) :

Argument (English):

Argumento (português):

Argumento (español):

Keywords :

➡ c-section/caesarean ; history, sociology ; evidence-based medicine/midwifery ; ethics ; deontology ; informed consent ; oxytocin ; hormones ; morbidity

Author of this record :

Cécile Loup — 10 Mar 2004
➡ latest update : Bernard Bel — 02 Dec 2007