Resumo

FORTUNATO, Victoria Della Ventura; HERNANDEZ, Nahuel Nicolás  e  VAZQUEZ, Damián Ramírez. Cesarean delivery on maternal request: tools for a bioethical approach. Rev. Méd. Urug. [online]. 2025, vol.41, n.1, e502.  Epub 31-Jan-2025. ISSN 0303-3295.  https://doi.org/10.29193/rmu.41.1.9.

The persistent increase in cesarean deliveries as a means of completing pregnancy represents a critical public health issue worldwide. This has been highlighted by academia, international health institutions, and feminist studies. In Uruguay, 63.81% of births in the private sector and 36.19% in the public sector in 2023 were by cesarean section. Cesarean delivery on maternal request (CDMR) is one of the main causes of this increase, being considered a non-medically indicated intervention that may pose unnecessary risks to maternal-fetal health. From a principlist perspective, the ethical conflict between the principles of autonomy and non-maleficence is identified. This article explores the analysis of CDMR from a feminist bioethics perspective, proposing the notion of relational autonomy and shared decision-making as ethical frameworks to address this conflict and ensure the sexual and reproductive rights of pregnant individuals.

Palavras-chave : Bioethics; Cesarean delivery; Sexual and reproductive health; Feminist ethics; Relational autonomy; Shared decision-making.

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