Caesarean Section on Maternal Request-Ethical and Juridic Issues: A Narrative Review
Felice Sorrentino, Francesca Greco, Tea Palieri, Lorenzo Vasciaveo, Guglielmo Stabile, Stefania Carlucci, Antonio Simone Laganà, Luigi Nappi
Abstract
In recent decades, the rate of caesarean deliveries has increased worldwide. The reasons for this trend are still largely misunderstood and controversial among researchers. The decision often depends on the obstetrician, his beliefs and experience, the characteristics of the patients, the hospital environment and its internal protocols, the increasing use of induction of labor, the medico-legal implications, and, finally, the mother's ability to request delivery by caesarean section without medical indication. This review aims to describe the reasons behind the increasing demand for caesarean sections by patients (CDMR) and strategies aimed at reducing caesarean section rates and educating women about the risks and benefits of CS.