“Caesarean Section – Social Problem”
Admission: The growing number of Caesarean sections is a big problem in modern obstetrics, both in medical and ethical terms. Patients, for fear of pain, try to suggest and often force their doctor to have a cesarean section. Doctors and medical staff broaden patients' awareness of the possible consequences of Caesarean section. Unfortunately, despite this, women consider Caesarean section to be a "more convenient" form of termination of pregnancy, which, in their opinion, results in less discomfort caused mainly by pain. The final decision on how to end your pregnancy is up to the obstetrician-gynecologist. Despite this, patients for fear of pain go to specialist doctors, such as an ophthalmologist or psychiatrist, to obtain a certificate of non-obstetric indications for cesarean section, such as tokophobia, vision defect.
Aim: The purpose of this study is to present the level of awareness of women about cesarean section and to show the ethical conflict of medical personnel in obstetrics.
Material and methods: In the study described, a diagnostic survey method, a survey technique and a self-made questionnaire were used which contained and questions about the level of knowledge and awareness of women about Caesarean section and its complications.The study was conducted among 289 women from October 2019 to November 2019. The respondents expressed their consent and willingness to participate in the study and were informed about the anonymity of the study.
Conclusions: The low awareness of respondents about possible complications after cesarean section in mother and child (86%) and fear of pain (27%) prompts women to look for a different way to terminate pregnancy than natural delivery. Respondents believe that despite the lack of medical indications, every woman should have the right to surgery. This puts pressure on doctors and deepens their ethical conflict.
Keywords - Caesarean Section, Medical Indications, Ethical Dilemmas, Ethics,