Obstetric Decision-Making: Responses to Patients Who Request Cesarean Delivery
The right of patients to be actively involved in treatment decisions is now widely accepted. A survey of 112 obstetricians was conducted to determine their responses to several cases in which a laboring woman asks for a cesarean section, even though the obstetrician has recommended a continued trial...
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| Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 1986-06, Vol.67 (6), p.847-850 |
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| container_end_page | 850 |
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| container_issue | 6 |
| container_start_page | 847 |
| container_title | Obstetrics and gynecology (New York. 1953) |
| container_volume | 67 |
| creator | JOHNSON, SUSAN R ELKINS, THOMAS E STRONG, CARSON PHELAN, JEFFREY P |
| description | The right of patients to be actively involved in treatment decisions is now widely accepted. A survey of 112 obstetricians was conducted to determine their responses to several cases in which a laboring woman asks for a cesarean section, even though the obstetrician has recommended a continued trial of labor/vaginal delivery. In 12 of the 19 cases there was substantial variation among respondents in the decision to agree with the patient. There was also no agreement, in many of these cases, on the presence or absence of a medical indication for abdominal delivery. The ethical aspects of this problem are explored. (Obstet Gynecol 67:847, 1986) |
| doi_str_mv | 10.1097/00006250-198606000-00021 |
| format | Article |
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A survey of 112 obstetricians was conducted to determine their responses to several cases in which a laboring woman asks for a cesarean section, even though the obstetrician has recommended a continued trial of labor/vaginal delivery. In 12 of the 19 cases there was substantial variation among respondents in the decision to agree with the patient. There was also no agreement, in many of these cases, on the presence or absence of a medical indication for abdominal delivery. The ethical aspects of this problem are explored. 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Obstetrics ; Humans ; Medical sciences ; Obstetrical techniques ; Obstetrics ; Paternalism ; Patients ; Personal Autonomy ; Physicians - psychology ; Pregnancy ; Pregnant Women ; Risk Assessment</subject><ispartof>Obstetrics and gynecology (New York. 1953), 1986-06, Vol.67 (6), p.847-850</ispartof><rights>1986 The American College of Obstetricians and Gynecologists</rights><rights>1986 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=8793281$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3703409$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>JOHNSON, SUSAN R</creatorcontrib><creatorcontrib>ELKINS, THOMAS E</creatorcontrib><creatorcontrib>STRONG, CARSON</creatorcontrib><creatorcontrib>PHELAN, JEFFREY P</creatorcontrib><title>Obstetric Decision-Making: Responses to Patients Who Request Cesarean Delivery</title><title>Obstetrics and gynecology (New York. 1953)</title><addtitle>Obstet Gynecol</addtitle><description>The right of patients to be actively involved in treatment decisions is now widely accepted. A survey of 112 obstetricians was conducted to determine their responses to several cases in which a laboring woman asks for a cesarean section, even though the obstetrician has recommended a continued trial of labor/vaginal delivery. In 12 of the 19 cases there was substantial variation among respondents in the decision to agree with the patient. There was also no agreement, in many of these cases, on the presence or absence of a medical indication for abdominal delivery. The ethical aspects of this problem are explored. (Obstet Gynecol 67:847, 1986)</description><subject>Bioethics</subject><subject>Biological and medical sciences</subject><subject>Cesarean Section</subject><subject>Decision Making</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Ethics, Medical</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Obstetrical techniques</subject><subject>Obstetrics</subject><subject>Paternalism</subject><subject>Patients</subject><subject>Personal Autonomy</subject><subject>Physicians - psychology</subject><subject>Pregnancy</subject><subject>Pregnant Women</subject><subject>Risk Assessment</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1986</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kV1LwzAUhoMoc05_gtAL8S6aNG2aeifzE6YTUfQupOmpq3btzGkd-_dmH-7OQAgn7_ueE54QEnB2xlmanDO_ZBgzylMlmfQV9TvkO6TPVSJoKMT7Lun7q5QmKor2yQHip7dwmYoe6YmEiYilffI4zrCF1pU2uAJbYtnU9MF8lfXHRfAMOGtqBAzaJngybQl1i8HbpPHKdwfYBkNA48DUPluVP-AWh2SvMBXC0eYckNeb65fhHR2Nb--HlyNqRZhyKtM4t5AwGwPwvIhAiIz5OjeJgZiJvIA4NjYXWSaU4oXMpVFKFpBzK7iJxICcrvvOXLN6ip6WaKGqTA1NhzqRKuSxUt6o1kbrGkQHhZ65cmrcQnOmlyj1H0q9RalXKH30eDOjy6aQb4Mbdl4_2egGrakKZ2oPcGtTSSpCtWwTrW3zpmrB4VfVzcHpCZiqnej_PlL8Al2mi8Y</recordid><startdate>198606</startdate><enddate>198606</enddate><creator>JOHNSON, SUSAN R</creator><creator>ELKINS, THOMAS E</creator><creator>STRONG, CARSON</creator><creator>PHELAN, JEFFREY P</creator><general>The American College of Obstetricians and Gynecologists</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198606</creationdate><title>Obstetric Decision-Making: Responses to Patients Who Request Cesarean Delivery</title><author>JOHNSON, SUSAN R ; ELKINS, THOMAS E ; STRONG, CARSON ; PHELAN, JEFFREY P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3291-695dce70c5ee1df4e33b0e70da7ae503dfe55acd3bb3881f6d6a886fed1c31a43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1986</creationdate><topic>Bioethics</topic><topic>Biological and medical sciences</topic><topic>Cesarean Section</topic><topic>Decision Making</topic><topic>Delivery. Postpartum. Lactation</topic><topic>Ethics, Medical</topic><topic>Female</topic><topic>Gynecology. Andrology. 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| fulltext | fulltext |
| identifier | ISSN: 0029-7844 |
| ispartof | Obstetrics and gynecology (New York. 1953), 1986-06, Vol.67 (6), p.847-850 |
| issn | 0029-7844 1873-233X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_76821588 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | Bioethics Biological and medical sciences Cesarean Section Decision Making Delivery. Postpartum. Lactation Ethics, Medical Female Gynecology. Andrology. Obstetrics Humans Medical sciences Obstetrical techniques Obstetrics Paternalism Patients Personal Autonomy Physicians - psychology Pregnancy Pregnant Women Risk Assessment |
| title | Obstetric Decision-Making: Responses to Patients Who Request Cesarean Delivery |
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