Perinatal complications of the maternal–Fetal dyad in primiparous women subjected to vaginal delivery versus elective cesarean section: A retrospective study of clinical results associated with bioethical precepts

The obstetrics field is undergoing transformation and committing to ensuring the autonomy of pregnant women in decisions related to birth based on scientific information. The physiological process of birth typically results in vaginal delivery, but medicine has evolved to include obstetric surgeries...

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Bibliographic Details
Published in:PloS one 2023-10, Vol.18 (10), p.e0292846-e0292846
Main Authors: Mascarenhas Silva, Carlos Henrique, Soares Laranjeira, Cláudia Lourdes, Barros de Melo, Carolina Soares, Brandão, Lorena Ventura, Oliveira, Gabriela Costa, Brandão, Augusto Henrique Fulgêncio, Nunes, Rui
Format: Article
Language:English
Subjects:
Apgar score
Autonomy
Bioethics
Biology and Life Sciences
Blood transfusion
Blood transfusions
Breastfeeding & lactation
Care and treatment
Causes of
Cesarean section
Childbirth & labor
Comorbidity
Complications
Complications and side effects
Fetuses
Gestational age
Health aspects
Hospitals
Information processing
Intensive care
Medicine and Health Sciences
Neonates
Newborn babies
Obstetrics
Patients
Pregnancy
Pregnancy, Complications of
Pregnant women
Psychological aspects
Puerperium
Science Policy
Vagina
Variables
Womens health
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Summary:The obstetrics field is undergoing transformation and committing to ensuring the autonomy of pregnant women in decisions related to birth based on scientific information. The physiological process of birth typically results in vaginal delivery, but medicine has evolved to include obstetric surgeries that are safe and result in few perioperative complications, especially when cesarean section is performed from 39 weeks of gestational age. Thus, the question is whether clinicians should interfere with pregnant women’s freedom to choose their mode of delivery by trying to persuade them to choose vaginal delivery. The objective was to analyze the perinatal complications of the maternal–fetal dyad in primiparous women subjected to vaginal delivery versus elective cesarean section with respect to the bioethical precepts of autonomy, beneficence and nonmaleficence. In total, 2,507 women, including 1,807 (72.1%) with vaginal deliveries and 700 (27.9%) with cesarean deliveries, were analyzed between 2017 and 2020. There was no difference between the types of delivery in maternal readmission, death, admission to the intensive care unit, an Apgar score
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0292846