| Autor: |
Chervenak FA; Department of Obstetrics and Gynecology, New York Hospital-Cornell Medical Center, New York, USA., McCullough LB |
| Jazyk: |
angličtina |
| Zdroj: |
Obstetrics and gynecology [Obstet Gynecol] 1996 Feb; Vol. 87 (2), pp. 302-5. |
| DOI: |
10.1016/0029-7844(95)00387-8 |
| Abstrakt: |
When cesarean delivery is substantively supported and vaginal delivery is not supported in beneficence-based clinical judgment, the physician should offer and recommend only cesarean delivery. When both cesarean and vaginal delivery are substantively supported in beneficence-based clinical judgment, the physician should offer both, discuss any controversy, and make a recommendation. When cesarean delivery is substantively supported and vaginal delivery is more substantively supported in beneficence-based clinical judgment, the physician should offer both and recommend vaginal delivery. If cesarean delivery is not supported and vaginal delivery is substantively supported in beneficence-based clinical judgment, the physician should offer only vaginal delivery. When cesarean delivery is requested and well supported solely in autonomy-based clinical judgment, the physician should repeat the recommendation for vaginal delivery and either perform cesarean delivery or make a referral. Physicians may use this algorithm in negotiating managed care contracts. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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