Cesarean on Demand? Autonomy vs. Medical Indication

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Ernesto Beruti
Hospital Materno Infantil de San Isidro. Argentina

Abstract

Cesarean delivery without medical indication raises an ethical dilemma between autonomy and professional responsibility. In low-risk pregnancies, vaginal birth offers greater benefits and lower risks. The physician’s role is to support, inform, and care, always prioritizing maternal and neonatal health over mere demand.

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Published: 2025-09-30
DOI: https://doi.org/10.51987/Rev.Hosp.Ital.B.Aires.v45i3.1294
Keywords:
controversia, cesarean section, autonomy, vaginal birth

Article Details

Issue

Vol. 45 No. 3 (2025): Revista del Hospital Italiano de Buenos Aires

Section

Controversy
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

How to Cite

1.
Beruti E. Cesarean on Demand? Autonomy vs. Medical Indication. Rev Hosp Ital B.Aires [Internet]. 2025 Sep. 30 [cited 2026 Aug. 1];45(3):e0001294. Available from: https://ojs.hospitalitaliano.org.ar/index.php/revistahi/article/view/1294

References

Betrán AP, Ye J, Moller AB, Zhang J, et al. The increasing trend in caesarean section rates: global, regional and national estimates: 1990-2014. PLoS One. 2016;11(2):e0148343. https://doi.org/10.1371/journal.pone.0148343.

Sandall J, Tribe RM, Avery L, et al. Short-term and long-term effects of caesarean section on the health of women and children. Lancet. 2018;392(10155):1349-1357. https://doi.org/10.1016/S0140-6736(18)31930-5.

International Federation of Gynecology and Obstetrics; International Confederation of Midwives; White Ribbon Alliance; et al. Mother-baby friendly birthing facilities. Int J Gynaecol Obstet. 2015;128(2):95-99. https:// doi.org/10.1016/j.ijgo.2014.10.013.

World Health Organization. Department of Reproductive Health and Research. Statement on caesarean section rates [Internet]. Geneva: WHO; 2015 [citado 2025 ago 20]. Disponible en: https://iris.who.int/bitstream/handle/10665/161442/WHO_RHR_15.02_eng.pdf.