Patient Autonomy in a High-Risk Pregnancy

Document Type

Conference Proceeding

Publication Date

10-20-2024

Abstract

A 26-year-old pregnant female presented for a scheduled repeat cesarean section indicated for increased risk of shoulder dystocia and uterine rupture. During the preoperative phase, the patient expressed a preference for attempting a vaginal delivery, despite medical advice recommending a cesarean section. Respecting the patient’s wishes, she was discharged for expectant management of vaginal delivery. This case presentation discusses the ethical principle of patient autonomy and the unique challenges it poses in pregnancy, where maternal decisions may negatively impact fetal outcomes. It explores the physician's duty to provide sufficient information for informed decision-making and instances when autonomy may face limitations.

Comments

American Society of Anesthesiologists Annual Meeting, October 18-22, 2024, Philadelphia, PA

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