According to Article 55 of the Tort Liability Law, if medical personnel need to perform surgery, special examination and special treatment, they must explain the medical risks and alternative medical schemes to the patients, and they need to obtain the written consent of the patients. If it is not appropriate to explain it to the patient, it shall explain it to his close relatives and obtain written consent.
Lawyers believe that the Tort Liability Law takes precedence over the Regulations on the Administration of Medical Institutions in terms of legal effect. If the parturient meets the indications of cesarean section and strongly demands cesarean section, then the hospital should give priority to the maternal decision-making.
The signature of the consent to surgery should reach the legal age without any mental disorder, and such patients can sign their own names if they can make decisions on their own. Some lawyers said that if the family refused to sign, it was not improper from the legal point of view, but there were ethical risks.
Lu, a lawyer from Guangdong Law Firm, said: I think from another perspective, since the body belongs to pregnant women, it should be decided by the pregnant women themselves, otherwise it is not conducive to the treatment of patients.
What are the disadvantages of caesarean section? First, breastfeeding becomes unstable.
After caesarean section, pregnant women will have colostrum from the third day after operation, and the pain at the operation site is severe, the recovery period is long, and breastfeeding is difficult. But even if there is no colostrum, let the child suck the nipple. More massage will help pregnant women relieve congestion and let them breastfeed better. Analgesics to relieve pain can be transmitted to a small number of children through breast milk, but the harm is not too great.
Second, the postoperative recovery is slow.
It is necessary to continue to inject antibacterial drugs and analgesics, and carefully observe whether the parturient has postoperative sequelae. Pregnant women who give birth naturally are more likely to move and breastfeed their children, so the pelvis contracts faster and can better exert their self-healing ability. However, the pain after caesarean section and the need for wound healing made them recover more slowly than those who gave birth naturally.
Third, it may induce inflammation.
If there is no special inflammatory reaction (fever, wound pain or suppuration, etc.). ), it's nothing serious, just itchy. Inflammation of uterus, myometrium and abdominal skin may develop into peritonitis and need treatment. Peritonitis usually occurs within 1-2 weeks after operation.
Fourth, there may be a lot of bleeding.
There is a lot of bleeding by caesarean section. Due to poor uterine contraction, there will be a lot of bleeding, and skin and abdominal wall may also bleed. Of course, this situation is relatively rare. When bleeding occurs, some pregnant women should inject uterine contractions or massage.
Fifth, there may be postoperative sequelae.
About 1%-2% of women who have had caesarean section will leave wounds in the uterus and may also adhere to other organs. This may cause problems in the second caesarean section or hysteromyoma operation, which is very dangerous. If peritonitis or amniotic fluid and fat block the pulmonary vessels, it will lead to pulmonary embolism, or sepsis caused by infection, which will lead to maternal death in severe cases. The death caused by caesarean section is four times that caused by natural childbirth, and the possibility of being hospitalized again due to complications is as high as two times.