School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
BMC Pregnancy Childbirth. 2019 Aug 9;19(1):286. doi: 10.1186/s12884-019-2440-2.
A debate on the decision of women to choose a cesarean section as the mode of birth in uncomplicated pregnancies from the views of relevant stakeholders.
Using five electronic databases, a literature search was conducted for studies published from January 2003 to December 2016. Studies on a woman's right to request or to choose a cesarean section as the mode of birth in uncomplicated pregnancies were included. Fifty-five articles were identified (39 research studies and 16 opinion-based articles). Among health professionals, obstetricians were the most supportive of this right. It is argued that although women reported wanting to choose the mode of birth, with the safety of their babies as the priority, they also relied on the advice of their maternity care provider and considered it the responsibility of their obstetrician to make the decision. A higher proportion of the general public in countries with well-developed private healthcare accepted that a woman should have the freedom to choose the mode of birth.
This review provided a debate on the choice of pregnant women in uncomplicated pregnancies on the mode of birth from various stakeholders. Further research is required to explore what the meanings of autonomy of pregnant women to choose the mode of birth, and the process that they go through when making this decision.
从利益相关者的角度出发，对无并发症妊娠选择剖宫产的决策进行了争论。
使用五个电子数据库，对 2003 年 1 月至 2016 年 12 月期间发表的研究进行了文献检索。纳入了关于妇女在无并发症妊娠中要求或选择剖宫产作为分娩方式的权利的研究。共确定了 55 篇文章（39 项研究和 16 篇基于观点的文章）。在卫生专业人员中，妇产科医生最支持这一权利。有人认为，尽管妇女报告说希望选择分娩方式，但以婴儿的安全为优先考虑，她们也依赖于其产科保健提供者的建议，并认为决定应由产科医生负责。在私人医疗保健发达的国家，更多的公众认为妇女应该有选择分娩方式的自由。
本综述从不同利益相关者的角度对无并发症妊娠中孕妇对分娩方式的选择进行了争论。需要进一步研究，以探讨孕妇选择分娩方式的自主权的含义，以及她们在做出这一决定时所经历的过程。
