Caesarean section for maternal choice: boundaries between self-determination and risk
1 – First level Medical Director, Mother’s and Child’s Health Department – Obstetrics and Gynecology – Poliambulanza Foundation, Healthcare Facility, Brescia
2 – Researcher, Department of Medical-Surgical Specialties, Radiological Sciences and Public Health – University of Brescia
Corresponding Author: Lorenzo Agoni
Italian Law No. 219/ 2017 regarding informed consent and advance directi- ves, contributed to identifying the boundaries between competence, profes- sional autonomy and responsibility of the physician and the decisional auto- nomy of the patient. When a woman requests to have a cesarean delivery without medical indication, the decision-making process requires: the clinical assessment of the physician – who is responsible for identifying and propo- sing health treatments, and for adequately informing the patient – and the identification of the reasons that are contributing to the patient’s request, in order to reconcile both perspectives in favor of protecting the best interest – not merely clinical – of the patient.
Keywords: cesarean delivery; professional autonomy; female autonomy.
Available in LRIOG Nr.4 – 2021