Cesarean on Demand? Autonomy vs. Medical Indication

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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

Main Article Content

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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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 2025 Oct. 26];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. DOI: 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. DOI: 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. DOI: 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.