Reilly Daniel Robert
Department of Obstetrics and Gynecology, McMaster University, Hamilton ON, Canada.
J Obstet Gynaecol Can. 2009 Dec;31(12):1176-9. doi: 10.1016/s1701-2163(16)34379-1.
National and international bodies have used evidence-based medicine to apply the principles of beneficence and nonmaleficence to guide a physician's response to a request for Caesarean section without medical indication. Although they are nearly unanimous in their condemnation of saying "yes," a physician who weighs risks unequally, who weighs risks in a patient-centred manner, or who values autonomy may find saying "no" to be an unacceptable choice.
国家和国际机构已运用循证医学来应用有益和无害原则，以指导医生对无医学指征的剖宫产请求做出回应。尽管它们几乎一致谴责同意剖宫产的行为，但那些不平等权衡风险、以患者为中心权衡风险或重视自主权的医生可能会发现拒绝是一个不可接受的选择。
