Elective Cesarean Section: How Informed is Informed?

Zeidenstein, Laura

doi:10.18785/ojhe.0201.04

Cited by 3 publications

(2 citation statements)

References 13 publications

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“…However, the conception of autonomy that has emerged in bioethics, especially in the matter of informed consent, seems much narrower. ( Zeidenstein L. 2005).…”

Section: The Principle Of Autonomymentioning

confidence: 99%

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Socio-Ethical Issues Surrounding Caesarean Section Births in Africa

Yitambe

Kibaara

Warutere

2018

Int. J. Res. Granthaalayah

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In the last decade, a number of studies have questioned the practice of caesarean section birth in obstetrical practices in Africa. Medical sociologists and anthropologists have considered caesarean section as a medicalization of social events. We are not assuming that it is true of false. The transformation of social events into medical indications rises ethical issues in the provision of healthcare in Africa. In this paper, we especially used the case of caesarean section birth to explore the transformation of social events into medical indications in Africa. Caesarean sections by choice interrogates the obstetrical practices. This paper examines the socio-ethical issues in caesarean section in Africa. We considered some underlying factors: medicalization of the society, informed consent, biotechnology, demand inducement, consumer-inducement demand and the health market-driven economy. This was desk-based study. A review of secondary data and literatures relative to caesarean section births in Africa were used for discussion. Findings from literatures revealed that a number of considerations have to be taken such as: demand inducement and information asymmetry, defensive and corporate medicine, medical power, consumer induced demand and health market driven economy. The findings informed health regulators on demand and supply sides of caesarean sections.

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“…However, the conception of autonomy that has emerged in bioethics, especially in the matter of informed consent, seems much narrower. ( Zeidenstein L. 2005).…”

Section: The Principle Of Autonomymentioning

confidence: 99%

“…It involves both a loosening of criteria for various medical indications and considerations of surgical births. (Zeidenstein L. 2005…”

Section: Introductionmentioning

confidence: 99%

Socio-Ethical Issues Surrounding Caesarean Section Births in Africa

Yitambe

Kibaara

Warutere

2018

Int. J. Res. Granthaalayah

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Choosing caesareans? The perceptions and experiences of childbirth among mothers from higher socio-economic households in Dhaka

Akhter

Schech

2018

Health Care for Women International

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In this paper, we examine the perceptions and experiences of childbirth among a group of wealthier women in Dhaka through in-depth interviews. We find that a number of factors including preference for Caesarean Section (CS), socio-economic position, family structure, and perceptions of modern childbirth contributed to the women's overuse of medical childbirth services. Furthermore, women's capacity to purchase modern maternal health care in the private sector did not necessarily ensure high quality care in a health system which approaches maternal healthcare as a profit-making enterprise rather than as an essential human right.

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Development of a Framework for On-Demand Caesarean Section in Romania

Barna

Cîtu

Gorun³

et al. 2023

IJERPH

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Background: Caesarean section rates have continued to trend upward in most countries, including Romania, creating a number of economic challenges. In the public health system, there is no regulation for performing Caesarean sections on demand; it is often done unlawfully, and in private hospitals, it is a real business. Thus, this study aims to investigate the budgetary impact at a hospital level and the profit per procedure by introducing on-demand caesarean sections for a fee. Methods: This study was conducted in one of the largest maternity units in Western Romania—the “Bega” Maternity Clinic of the Timisoara County Emergency Hospital. For the analysis, the difference between a proposed occupancy rate (between 50 and 85%, increasing every 5 percent) and the actual occupancy rate was calculated. Considering that this difference can be used to admit patients to receive Caesarean sections on demand for a fee, the profit that could be obtained during the study period was calculated. Results: It is reported that between 238 (proposed occupancy rate of 50%) and 4683 patients (a proposed occupancy rate of 85%) could have benefited from on-demand caesarean section surgery in 2017–2019. Between RON 419,999 and RON 8,551,636 could be obtained in the 3 years of study by implementing caesarean section against payment. Conclusion: The implementation of a system of on-demand payment for caesarean sections in Romania would bring significant profits to the hospital budget.

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Elective Cesarean Section: How Informed is Informed?

Cited by 3 publications

References 13 publications

Socio-Ethical Issues Surrounding Caesarean Section Births in Africa

Socio-Ethical Issues Surrounding Caesarean Section Births in Africa

Choosing caesareans? The perceptions and experiences of childbirth among mothers from higher socio-economic households in Dhaka

Development of a Framework for On-Demand Caesarean Section in Romania

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