IMR Press / CEOG / Volume 48 / Issue 1 / DOI: 10.31083/j.ceog.2021.01.2305
Open Access Editorial
Caesarean section between doctrine to heresis. Medicoethical and deontological view of caesarology: an opinion
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1 University Departement of Obstetrics and Gynecology, Clinical Hospital, “Sveti Duh” Zagreb, Croatian Catholic University Zagreb, Croatian Academy of Medical Sciences, 10000 Zagreb, Croatia
2 Digital Healthcare Ethics Laboratory (Digit-Heal), Croatian Catholic University Zagreb, 10000 Zagreb, Croatia
3 Faculty of Health Sciences, University of Hull, HU1 Hull, UK
4 Department of Gynaecology and Obstetrics, General Hospital Tešanj, Tešanj, Department of Anatomy, School of Medicine, University of Tuzla, 75000 Tuzla, Bosnia and Herzegovina
5 General Hospital Požega, 34000 Požega, Croatia
Clin. Exp. Obstet. Gynecol. 2021 , 48(1), 1–4; https://doi.org/10.31083/j.ceog.2021.01.2305
Submitted: 23 September 2020 | Revised: 28 October 2020 | Accepted: 29 October 2020 | Published: 15 February 2021
(This article belongs to the Special Issue Caesarean Section Today - “Caesarology in the 21st Century”)
Abstract

Increasing the incidence of caesarean section is not in line with professional and deontological guidelines. Elective cesarean section prevents primordial prevention of chronic cardiovascular, gastrointestinal, imunological, endocrinological morbidity by peripartal programming. Elective non-medical indicated caesarean section is not a procedure that respects deontological, clinical etics, scientific and professional principles. It is like an unacceptable surgery outside the scope of medical ethics. Clientelism in high-risk clinical obstetric medicine is not a professional and deontologically correct category: a physician should not be a provider on request of healthy pregnant women with the potential to have a medically incorrect procedure and complications associated with it and to put a healthy pregnant/maternity and child status in the patient’s status. The financial, social, political and cultural components must not outweigh good clinical practice and the moral principles of medicine.

Keywords
Caesarean section
Elective caesarean section
Non-medical indicated caesarean section
Medical ethics
Clinical etics
Deontology
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