Watch Hatchet Versus Genitals

We welcome you to this blog, where we will review in depth case studies of field of bioethics in the field of gynecology. We invite you to read and reflect on the issues that we will publish well to have your comments and enrich the discussion.

Without further ado, we present the first clinical case.


CASE REPORT 1

Patient 28, a lawyer by profession, married, primigravida, pregnant healthy women enrolled in a physiological 36 weeks.

is seen by an obstetrician in a normal control and she reminds him that "there was a pending conversation" about the birth canal.

In the first weeks of pregnancy she had raised fears for normal childbirth as it has had to deal professionally with some women who had complications or product delivery on time are indicated cesarean section.

She is very confident of the capabilities of your doctor, but the fear of labor is higher and raises it will not agree to operate, she changed doctors.


Before developing a case itself, let's review the current situation a little about childbirth in women.

Background:

• A progressive increase in the number of births are resolved by way of a cesarean delivery.
• This increase reflects different motivations for considering cesarean section as a tool to ensure the survival of the fetus and the mother under varying conditions of risk obstetrics.
• The increase in caesarean sections is not commensurate with the reduction of perinatal mortality and morbidity. This is reflected in similar rates of mortality and morbidity centers that have widely varying rates of caesarean sections ranging from 5 to almost 100%.

are several hypotheses of why they have been increasing caesarean sections, among them are:

• are more profitable in terms of income for doctors
• Allows greater control by the doctor, who can emptied faster and working hours.
• The rise of lawsuits for poor perinatal outcome, the doctor produces the feeling that it is not worth the effort to obtain a vaginal delivery.
• Fear of vaginal delivery of a large number of patients, fear of pain, the possible danger to his son, genital prolapse or sexual dysfunction.
• patient convenience you can schedule your delivery

already have this background, we will make an analysis from the bioethical standpoint of this particular case, taking into account the bioethical principles that there are pros and cons of each course of action, and all this supported by current scientific evidence about the risks and complications in the mother and her son.