PDF(Pubmed)
Abstract：
This paper has as its theme the autonomy of pregnant women in relation to choosing the method of birth for their child. The objective was to carry out a scoping review to study the literature and evidence of how autonomy is being offered to parturient women. Study design and location: In October 2023, a search was carried out using the terms \"pregnant women\" AND \"delivery\" AND \"autonomy\" in the following databases: PubMed, Web of Science, Scopus, Scielo and LILACS. The search included articles from 2016 to 2023. Of the 179 articles found, 15 met the criteria and were selected for this review. Results: the pregnant woman\'s autonomy in choosing the method of childbirth is influenced by several factors, such as the obstetrician\'s recommendation, the medical team, and negative and positive experiences. Thus, when this autonomy is shared with the obstetrician, the obstetrician recommends cesarean section as the safest route, but does not explain the benefits and harms of both routes (vaginal and cesarean section), causing the woman to accept the cesarean section. Midwives recommend vaginal birth because they believe it to be natural and safe and explain the benefits and harms of both methods, respecting the pregnant woman\'s choice of the method she prefers. Conclusion: women have the fundamental right to choose their method of birth and must be properly guided throughout prenatal care, whether by an obstetrician or a midwife, about the options, risks and benefits of each method of childbirth, respecting the ethical principle of beneficence.
摘要：
本文的主题是孕妇在选择分娩方式方面的自主权。目的是进行范围审查，以研究如何为产妇提供自主权的文献和证据。研究设计和地点：2023年10月，在以下数据库中使用术语“孕妇”和“分娩”和“自主性”进行了搜索：PubMed，WebofScience,Scopus,Scielo和LILACS.搜索内容包括2016年至2023年的文章。在发现的179篇文章中，15人符合标准，被选中参加本次审查。结果:孕妇自主选择分娩方式受多种因素影响,如产科医生的建议，医疗队,消极和积极的经历。因此，当这种自主权与产科医生共享时，产科医生建议剖腹产是最安全的途径,但不能解释两种途径（阴道和剖宫产）的益处和危害，导致该妇女接受剖腹产。助产士建议阴道分娩，因为他们认为阴道分娩是自然和安全的，并解释了两种方法的益处和危害。尊重孕妇选择她喜欢的方法。结论:妇女有选择生育方式的基本权利,必须在产前保健中给予正确引导,无论是产科医生还是助产士，关于选项，每种分娩方法的风险和收益，尊重仁慈的伦理原则。
