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Database - Alliance francophone pour l'accouchement respecté (AFAR)
Created on : 4/10/2004
Modified on : 1/12/2007

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Author(s) :

Anderson GM.

Bibliographical entry (without author) :

Making sense of rising caesarean section rates. Editorial.
The British Medical Journal 2004; 329:696-697.

Year of publication :


Résumé (français) :

Abstract (English):

In Canada and the United States the appropriate role of caesarean section was an important women's issue, a topic for research on patterns of use, and a target of professionally endorsed guidelines in the early 1980s. Two decades later women, researchers, and the medical establishment are once again debating the use of this procedure.


Three specific indications—fetal distress, dystocia, and previous caesarean section—account for most caesarean sections.1 We have little evidence from controlled trials on the risks and benefits of caesarean section for these indications. One obvious goal is to support large, well designed, randomised trials that could help define appropriate care for these common indications. However, trials take time, and in the short term decisions for individual patients and for health systems will have to be made in the face of uncertainty about the risks and benefits of caesarean section compared with vaginal delivery. Another goal should therefore be to have a more comprehensive and frank debate about the ethical issues related to the role of doctors, preferences of patients, and informed consent with respect to caesarean sections.

Sumário (português):


Comments :

Argument (français) :

Argument (English):

Argumento (português):

Keywords :

c-section/caesarean ; deontology ; ethics

Author of this record :

Cécile_Loup — 4/10/2004

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