title: [Non-indicated cesarean section--does the "Golem" counteract?].
abstract: Cesarean section rate is steadily increasing and in Israel it has risen to 20%. MultipLe and different reasons have led to this phenomenon, among them are non-indicated cesarean sections. Although health care providers disagree whether this development is medically, ethically and publically justified, national associations allow it, while respecting those obstetricians who decline to do so. In Israel there are some hospitals which allow non-indicated cesarean sections, whereas others reject them. When discussing this issue with the patients, documentation is advised concerning the reasons for approval or rejection of the patients' request in order to avoid future complaints in the case of adverse outcome. Low risk vaginal delivery should be regarded as a natural process and not as a medical treatment and keeping balanced and reasonable decisions may help to contain the phenomenon and avoid a situation in which the "Golem" created by the medical system, counteracts.
authors.affiliation: Israel Society of Obstetrics and Gynecology, Department of Obstetrics, Assaf Harofe Medical Center, Zerifin, Israel. arieh@asaf.health.gov.il
authors.forename: Arie
authors.initials: A
authors.lastname: Herman
mesh_terms: D002585:Cesarean Section / Q000941:ethics / Q000706:statistics & numerical data*; D036861:Delivery, Obstetric / Q000941:ethics / Q000379:methods*; D004282:Documentation; D005260:Female; D006801:Humans; D007557:Israel; D010358:Patient Participation; D010818:Practice Patterns, Physicians' / Q000941:ethics / Q000706:statistics & numerical data; D011247:Pregnancy; D019564:Unnecessary Procedures / Q000941:ethics / Q000706:statistics & numerical data*