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Do not weave because nothing else can you do a sad chain? I invite you to make a scarf for those cold. Buy 200 grams of yarn, a crochet hook number 5 (as seen in the photo) and put to work. All

scarf is made up of chains and half points. In case you do not know how these things can bite here to see how the chain is here to the midpoint.

To start, make a chain so long as you want the scarf, the yarn weight will cause the scarf is a little longer that seen with the naked eye, so please take this into account so you will not be very long.

Once you have the desired length, say you did the last string is the initial string of the scarf. Then you do another 18 chains and do a half point in the initial chain of your scarf (also tried it with 20 channels but no significant change in the appearance of the scarf and spend more yarn). If the explanation is confusing, I hope you appreciate the picture clearly.



If you reach this point, you know do all the scarf ... is exactly the same throughout the garment.

For it to look more pretty, at each end of the scarf I knitted 5 earrings in the same chain ... wished to make more lush in that part (now I think you can do over the scarf to give it an irregular appearance, good for the other). It should be clear that so far all means start and end points in the same place. The result looks something like this:



After doing the 5 earrings at the end of the scarf, start doing a loop in each chain throughout the garment up to the extreme, where you will also make 5 rings on the last string of the scarf. Already have the first part done. Then keep doing

rings on the opposite side of the rings of the first part ... The photo shows the first part done, with 5 rings on each end. The needle shows the remaining part of the chain nonwovens, is where the media will do the second part points.

I changed the color to better appreciate the first part (green) and the second part (purple). You must go to straighten the fabric and will not twist it easier to move forward.



Once you get to the point where you started to knit your scarf rings, you end up with half point, cut the yarn leaving some left over, hidden in the fabric and finally have something like this:

not seem to protect much of the cold, but it is actually quite warm.

recommend yarn weave a nuanced and more variadito is you and you can use different colors. But it also looks great in black, red and various colors more.

Last year I decided to make this scarf for sale, as an experiment ... I liked it so much that about 10 of this style. He has a very simple technique, if the weave for a long time becomes monotonous. End preferring to teach weave to sell jejejejeje.

Until next time.

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super-rings scarf vest knits and holiday gifts

Hello!

This week I'm on vacation so I'm forced to post once in a while.

As I tell them I am very happy that Santa brought me the gift he wanted:

I love my Mini, it is aesthetically beautiful, the size is perfect, does not weigh much, the battery lasts 6 hours and well ... I feel like as a child and woke me was a telephone ring jejejejeje. I highly recommend the Dell Mini 10.

Since coming to Mty step the holidays here, before it was because for many years I worked in a place where holiday season muuuuuucho was synonymous with work and even dream cow go to Sinaloa those days. During the first 2 or 3 years celebrated with my roomies, after that, I have always spent with the family of the husband (when he was only a friend interested jejejeje). And speaking of food, my mother made pozole, a sister-apple salad, Swiss enchiladas was a friend and we took the much acclaimed cakes mole, invention of Husband (says he remembers if any ever eaten but Tepito believe that various recipe at some point). Reheating was great ... Photo cakes I owe mole (deserves a separate post) but here goes the pozole which was delicious and to this day is over.

days ago I finished the vest caladito. Just do not like it ... I think I should improve the neck, had many years weaving not a blouse or jacket because I've always preferred wearing instant gratification, such as scarves and hats, but hey, it was time for me to do something for me. I think it will end up breaking up for longer, narrower, improving the neck and make another stitch ... perhaps something with braids.

do not usually follow the letter patterns, in fact most do not like using them ... I move better with improvisation and trial and error jejejeje. Armhole instructions were taken from a magazine, the neck of another and so ... Here I leave the instructions for the stitch in case anyone is interested in her. It is very simple but any doubt, throw me a shout.

When I made the eggplant slippers occurred to me to put the picture on facebook ... I came right away after requests ... when I had accumulated requests, the better I took the photo jejejeje. But seriously I am happy to knit for my friends and family. Here is the photo of the slippers for P & H. The coffee is for P and H in color black for their choice. Hope you like them or at least to take away the cold ... to see if tomorrow they are led to P because they say that much lower temperature.

also wove a black scarf for the husband (certainly before the winter is over you lose like last year) and a beige-colored pearl-uhmm crema ... not know the exact color for my mother. I have the picture because before the rush of the December 24 delivery without photograph ... then tell her pose and the posting ... he told me, he really liked stitch pattern and color.

Tomorrow I will try to regain Saroyan, if I get a lot of headaches I'll take another break and I will come another day hehehehe.

meantime, we will walk here ... Greetings.

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New Commentary on Clinical Case No. 4

They are adding new comments to Case No. 4, to enrich the discussion.
For direct access to case 4, click here

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labor pebble, shawls, and memories preparatorianos

Yesterday morning was the most depression ... for the evening was terribly happy. I have several hypotheses regarding this change so obvious:

1 .- I'm bipolar.

2 .- View my vacancies walk and feel my job makes me re-evaluate matters the 8 hrs I spend on this place.

3 .- My sister sent me lots of good vibes.

4 .- All of the above.

The 4 th option reminds me of my social science teacher high school . It was very good except that I did not like their tools to check our learning. Used to do multiple tests of confusion, oriented to approve only those that were 100% sure of the answer. The choices were almost always:

A)

B)

C)

D) All of the above,

E) A and B but not C,

the time came to subsection F) I was already mad. More than enough to say, I failed and went to extraordinary, where I spent a decent 8. Fortunately Philosophy could not give us the next course and I spent half of the most delicious between dialectical materialism and the Greek philosophers.

back to my frustrations at work, I will ever post the most bizarre reasons I have given for rejecting a candidate ... while I will continue with my vest traveler (because yew path to work, while my husband drives.) I think I will be loose and stitch caladita basic and already I do not like at all. I hope to finish here at the weekend to see if it completely rout or leave it at that.

With

Lanezi the north with my doubts Saroyan. I have not had time to see the videos but I am sure I will be very helpful. After you finish the vest, I will continue with this project and presume (take the opportunity to find a more beautiful yarn that I have).

And speaking of cacahuatitos with chile ... It is unlikely that you read this message, but I want to thank my mother for making my house livable.

Until next time.

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Case Report No. 5

Ana (30) and Miguel (34) are a couple who began their study of infertility after three years of trying without success. Two centers have come years of reproductive medicine clinic itaria univers.

been told in all the same. Have the diagnosis of unexplained infertility. All tests so far have been normal. In the last consultation poses the possibility of IVF and in this center prevents multiple pregnancy and ovarian hyperstimulation syndrome, through the freezing of spare embryos from a single procedure for induction of ovulation. It also has this procedure, the addition of being cheaper than the subsequent induction of ovulation.

They crave to be parents, but had not raised the possibility of frozen embryos.

QUESTION 1: Check biological aspects of the clinical situation at hand and indicate which are the points where they still are not clear. Try to answer as you know or you manage to check with your teacher

infertile couple is defined as the couple who has not achieved pregnancy after a year of sex without using contraception. Infertility is a couples issue, so their evaluation should be both.

Among the causes of infertility should be differentiated from the woman (female factors) and man (male factor).

Within the female factor is divided into factors: endocrine, gonadal, cervical tuboperitoneal, and cancer.

The male factor can be identified factors: testicular, seminal tract obstruction and disorders of ejaculation.

are specific treatments for each disorder, and among them hormone treatments to induce ovulation, surgical correction of anatomical abnormalities and assisted reproduction.

assisted reproduction is to use mechanisms to egg implantation in the endometrium ignoring the act of intercourse. Among them are:

• artificial insemination, where sperm are introduced trained to the uterine cavity.
• in vitro fertilization, where eggs are taken from the ovary by ultrasound-guided puncture, fertilized in the laboratory with sperm from a partner or donor, then, brought into the uterine cavity.
• Introduction of gametes (sperm) to the uterine tube
• intracytoplasmic sperm injection (ICSI), where a metaphase II oocyte is injected with the body of a sperm into the cytoplasm.

QUESTION 2: addition to the dilemmas arising from the freezing of embryos What other situations (legal, social, economic, family) must meet a couple who sought assisted reproductive technologies (ART)?

Today

come into play property protected by the law: to life, rights of children, parentage, inheritance, etc ... and new reproductive rights, where one is free to choose how or method that parents want to use to get it.

Thus, independent of moral issues involving the freezing of embryos, they must deal with the legality and law. There has been talk of "Human Rights of 3 rd generation", which lays down the respect for life to be born, and the dignity of procreation, mainly advocated by the church doctrines, then the estates law raised by the protection to the embryo. So come to consider not only the rights of the living person, but also of future generations not yet born.
is why it has generated a stir, that may mean for some groups such as unusual or out of the basic nature, condemning those who practitioners. This can cause family breakdown, should be very rigid families to past concepts, or very fervent in their religious practice.

Of course we can not consider the economic implications, which in this case should make us think that, regardless of whether a family with many or few resources, remains a method that does not comply with the principle of Justice, since not all those who wish to exercise their reproductive rights may do so.

today is becoming increasingly more mainstream the issue of assisted reproduction methods, however the company still does not assimilate as natural, and there are still divisions that support these practices, and other than repudiate. This creates a fear and uncertainty about the social acceptance that they can have this couple and their new son, making it look even "artificial person."

QUESTION 3: What is your ethical reflection on these techniques?

on a subject as fertile ground for bioethical debate is impossible to obtain unequivocal opinions.

We as a society established that human beings have the right to reproduce using the means to do so. From this point of view, assisted reproduction is beneficent and respects the autonomy of individuals who undergo it, allowing them to achieve rather than for one reason or another are prevented from getting through natural means. Also achieved, in a sense, justice for those with fertility problems compared to the rest fertile.

However, it is undeniable that there are multiple spaces ambiguous on this issue. Although there is the technical capacity of assisted reproduction, their preparation is not equal and that often depends on economic resources, transforming a human right into a private good. This calls into question the fairness of the method, and while some are limited by their genetic condition or not to procreate accidental, others have the tools to overcome these difficulties.

The situation becomes even more questionable when considering the embryos as subjects of law. By incorporating the perspective of the unborn and future generations, is controversial practice of preventing development, and ultimately the lives of many in order to ensure the development of one, being all equal and legal ethics.

The current situation allows these acts, in which goods are traded potential (fertility) for ambiguous evil (injustice). Is then properly inform couples seeking fertility, so they can decide according to their values \u200b\u200bif the option of assisted reproduction is valid or not.

Case developed by: Daniel Ramos, Nicolas Reyes, Javier Rios and Carlos Sáez

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Vest Saroyan process and

already it makes me practice of posting sporadically. The fabric so I have half left ...
I'm from the weavers weaving but for their loved ones for herself, however, and I decided to make my first vest, which walketh in progress ... I chose a stitch caladita kindergarten level . I hope I stay pretty, the camera goes missing in a travel bag of her husband (he went to the final of authentic American-won pumas pumas ... "s). Whenever I get the most advanced garment and find the camera will take pictures to publish in a post. I also
trying to make me a Saroyan but I'm realizing that the instructions for two flat needles not give me ... I'm confused with how to run 2 PJD (two stitches together the right), ppd (for 1 of the right, pass another law, the two together make the right needle from right ahead points) and P2
PJD (pass without 1 point, two points together the right, has been riding the past
doing on the two items together). The first understand it but ppd and p2 PJD confused me a lot. I declare visual learning, so I love the graphics crochet. Speaking of PD

cacahuatitos with chile: Sale December Ramiro Olivares has a date, so our gift fast forward and go to spend Christmas!!
P.D2. Today Past 8 pm we see Lila Downs !!!!! Both

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In an attempt to see if I pulled out some hairs, open a blog for those who want to see my photo editing work, and even commission some work. More info on http://paola-retoquefotografico.blogspot.com/ and an example:

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Case Report No. 3

female patient of 15 years, emergency consultation at the maternity clinic. Is carried by their parents who report accuses her daughter go because strong abdominal cramping pain in lower abdomen two-day, associated with genital bleeding. History of dysmenorrhea grade II to III, from menarche. Vital signs, BP 120/80, pulse 110 x min, FR 16 x min, T ° 37.5 ° C.

care In the box, out of sight of their parents, the patient reported that he had no periods since the summer, when that had sex with her boyfriend. Not been controlled by fear of their parents.

The review found a gravid uterus of about 2 ° month of pregnancy. The speculoscopy a gaping neck, by which POC out smelly, and regular blood in quantity.

QUESTION # 1 What

is (the) assessment (s) more likely (s) of the patient?

• Incomplete Abortion spontaneous Abortion
• Septic Abortion Abortion complete Abortion caused
Threatened abortion

This patient is no longer pursuing a threatened abortion, and has pain and metrorrhagia , to which an associated alteration of the neck and the expulsion of products of conception, both indicators of an abortion in progress. Nor has hemodynamic, or a fever marked as to say she is on a septic abortion. Therefore likely diagnoses are full-Abortion incomplete, should be studied with ultrasound to confirm or exclude the presence of products of conception in the womb. Making a difference if it is spontaneous or provoked, it is important to note that the patient has no lacerations in the vaginal canal or neck, indicating some kind of manipulation, and the history of dysmenorrhea may indicate a physical problem in the child. Now, given the history of hiding the information to their parents, should not rule out the possibility of having committed to a method of inducing abortion, so it is important to continue investigating the matter. Therefore, so far most likely to be a spontaneous Abortion, failing to confirm if it is complete or incomplete.

Once the patient is only asked the doctor who treats you that do not communicate the diagnosis to their parents. But you need to make additional examinations and gynecologic ultrasound, for which should be hospitalized.

QUESTION No. 2

What should the doctor do?
Located in a very complicated situation, where for "protocol" should speak with parents, since it is a minor who presents a picture which is an OB-obstetrical Urgency, in which life child is potentially at risk. Examination should harmless to the body, but to better define the picture she presents, and will guide us in the treatment and prognosis. We are facing a girl who puts a lock us in our actions, but we must take into account. Despite being an obstacle, it is important to take the weight means to her, and not withdraw. It is imperative to achieve a partnership with the girl, giving all information strictly necessary to understand the seriousness of his painting and the importance of telling their parents, offering support in this process.

What do you see values \u200b\u200band principles that are in conflict? They are in conflict
nonmaleficence v / s Autonomy. Nonmaleficence is presented to be as necessary to do a test to confirm the diagnosis we can treat it, and that failure to do so (both the examination and subsequent treatment) for withholding information, it puts us in a situation of malfeasance for with the girl, and we should perform a procedure, and we are not doing. On the other hand, is a girl who has every chance of being a mature enough to make decisions, and if your choice is to keep the information in defense, has the autonomy to do so, and we can not threaten it.

As our duty is to protect life in all circumstances we tend to predominate the absence of malice, but not against the autonomy, but it by exerting their autonomy, to understand the importance of the review will mean the difference between life and death.


Question 3 What would you
. which are the physician's obligations to ...?

With What rights do parents have?
Parents have a right to know what happens to your daughter, what a physician's obligation to give information.
With patient
What rights?
The patient is entitled to receive adequate treatment, diagnosis and treat their disease. You have the right to receive it as an adult, without discrimination. It also has the right to express their autonomy and this is welcomed.

With Duties of society "to an abortion doctor?
A physician has a duty to prevent abortion, and promoting the care of a pregnancy, regardless of age, or socioeconomic status, so as not to cause an abortion. This is important because it must protect the life of the unborn, demonstrating and human dignity.

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Case No. 2

Prenatal Control

A pregnant 37, enrolled in a pregnancy of 13 weeks is taken to the emergency room during the night. Her husband is on the way home from work, very upset, crying because the ultrasound was performed in birth control, told him he had a high risk of having a child with Down syndrome. The patient did not request that she received no special consideration during the scan and asked for his consent to be informed.

attending the clinic to have a new ultrasound machine, with a group of highly qualified doctors and continuous improvement in a referral center for maternal-fetal medicine college.

• Know you think is "risk of aneuploidy?

aneuploidy risk corresponds to a calculation based on ultrasound and biochemical variables to determine a probability of aneuploidy the patient to be tested.

• What are the markers of aneuploidy?

ultrasound findings are associated with the presence of aneuploidy, and in combination with the "risk of aneuploidy" to lessen the rate of false positives, in addition to a presumptive diagnosis of aneuploidies early without invasive methods. However, accurate diagnosis of aneuploidies is only possible through invasive methods.

• What risk does this patient? Do you know how to define the number of false positives in this situation? According

parameters analyzed at 13 weeks, this patient has a high risk that your child has an aneuploidy, however, when considering only aneuploidy markers evaluated the first trimester of pregnancy false positive rate reaches 5% .

• What medical, legal, ethical, experiential, do you think there are associated with the case presented?

Concerning

case referred to various problems arise.

First is the question about the diagnosis of aneuploidy. In calculating the risk of aneuploidy can not make a definitive diagnosis, even when the risk is high, since it represents a chance and will need to use invasive methods, which carry a 1% risk of reproductive loss to confirm the diagnosis.

And when we certify the diagnosis of aneuploidy that arises the question about the course of further action, since abortion is illegal in our country, besides being ethically reprehensible.

the question also arises about whether fully justified risk to the fetus using invasive methods to confirm the diagnosis, which I think should be analyzed case by case, according to the treatment options and possible benefits that could determine in any particular case the definitive diagnosis of aneuploidy versus a high suspicion at birth.

is important to ask about the patient's emotional response on the news. For any pregnant woman, the expectations for your child are high, and during the antenatal attachment is formed an idealized image of the child, to be contrasted with the real child when finally know. Taking this into consideration is important to analyze the impact that a diagnosis of this type, or only suspected, may have on the patient and the damage it can cause in the relationship of the mother-baby, in addition to the emotional harm to the mother.

• What other tests can be derived from this clinical situation? What are the risks? What would you advise?

From known facts, it would be important to evaluate them in relation to the markers that could be seen on ultrasound in the second semester to have a lower chance of false positives. Having assessed these parameters and determined the risk of aneuploidy, could raise the option of using invasive methods such as amniocentesis or chorionic villus sampling, to have a diagnosis.

Having assessed the patient using all available noninvasive methods, would talk to her about the existence of invasive methods, explaining their risk and also explain that through non-invasive methods is only a "risk" and not a definite diagnosis. I think the patient with proper emotional support and, ideally, with his partner, who must decide on the use of an invasive method, knowing what the possible benefits justifying the use of them.

• Comment or investigate the following concepts:

• verbal iatrogenic

is for the damage done when they say you should not say, either ignorantly say something false, when it is appropriate to say, put it empathy necessary to speak in a language incomprehensible to the patient or say when there is no time to allow the patient understands what is said.

right to be informed

patient has the right to receive information regarding their own person from the health personnel, in accordance with the principle autonomy.

• right not to know

A patient has the right to receive information regarding your medical condition, because that knowledge has emotional implications that the patient is entitled to avoid, in accordance with the principles of autonomy and personal health must respect this choice, preventing iatrogenic verbal, according to the principle of nonmaleficence.

Carlos Sáez Muñoz

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Clinical Case Report # 4

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Patient 32, married, multiparous than 3 vaginal deliveries, pelvic control goes to because he approached from the office for their Pap test.

, the patient is concerned and when interviewed by the midwife, it invites you to have a NIE cervicopatía 1 associated with HPV.

The patient does not understand what it is and asks for an explanation in simple terms.

Do I have cancer? If I have now, do I have chance of cancer? What chance? Is it false positive Pap? What about false negatives? What to do? How did this happen to me?

1. How do you inform the patient of the above?

intraepithelial neoplasia 1 (NIE I) is not cancer, but it is a disease that alters the normal barrier of the cervix, which is likely to get cancer, thus being a premalignant condition. The NIE 1 in more than half of the cases (70%) and improved return spontaneously, leaving a percentage of the injury remains stable, and a small percentage progressing to NIE 2 and 3 and possibly to cancer .

The PAP has false positives and negatives. Is estimated to have a sensitivity of 50-60% for the diagnosis of histological atypia, but its specificity is 90-99%. False positives are 16%, and false negatives 20%. This means that the test will not detect all patients with abnormal, but if detected, is very sure that you have an injury.

must have a serial control (clinical and PAP) on a regular basis to control the natural progression of this injury. In general has a good prognosis.

How would report it acquired a virus?

will inform you the truth about how he acquired the virus. What is sexual transmission. This is because the benefits we get with education and awareness are higher than hide this information.

Do you have the obligation to do so? What cases do you have?

the doctor is obliged to inform the way they acquired the virus, since in this particular disease, infection with this pathogen is a major risk factors and etiologies that explain their picture. For this reason, allows us to educate the patient, and to take all appropriate action.

2. A person with an STD is more likely to have another STD. Is this an STD?

A person with an STD, have a higher risk of having another STD depending solely on their risk factors (promiscuity, unsafe sex without protection methods, etc.). In this case we must evaluate the background to suspect in other infections. But the caveat is that this type of infection is highly prevalent in the general population, so given the high prevalence does not to think about other sexually transmitted infections if there are no risk factors.

3. The patient wants to explain to her husband. What did you say?

You must first find a comfortable and sheltered. It should be explained naturally, without falling in intonation or severity alarm. We explained that an infection is highly prevalent in the general population, which corresponds to a sexually transmitted disease course is often asymptomatic, and can generate lesions that have a partner. We partner education. We believe it is important to explain the possible form of timely transmission of the infection.

4. The patient tells you that, so this does not happen to their daughters, you want to vaccinate. Is there a vaccine to protect them?

There is a vaccine that can immunize against the human papilloma virus. It is necessary to investigate the ages of the girls, because to be effective, it has been shown to be applied before the start of sexual life. Anyway, once begun is effective sexual life, but it depends entirely on chance of not having a relationship where you purchased the virus. We advise you to vaccinate their daughters, as has been proven effective for 70 to 95% protection against the most prevalent strains that produce cancer cervical. It is also important to educate people about safe and healthy sexual behavior.

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Case Report No. 1

Patient 28, a lawyer by profession, married, primigravida, studying physiological evolution pregnancy of 36 weeks.

is seen by an obstetrician in a normal control and she reminds him that "there was a pending conversation" on the route of delivery.

In the first weeks of pregnancy she had raised fears for normal childbirth as it has had to deal professionally with some women who had complications or product delivery are not indicated time cesarean section.

She is very confident of the capabilities of your doctor, but the fear of labor is higher and raises him that without access to operate, she changed doctors.

1. What are the perinatal risks of vaginal birth compared with cesarean delivery?
   vaginal delivery, in fact, may have multiple complications, which are different from those presented by cesarean section.
   in natural childbirth for the mother there is the risk of perineal trauma, bleeding from the birth canal, urinary incontinence, fecal incontinence or constipation. May require an episiotomy, risk of anal sphincter injury. Improper handling of the placenta can cause uterine inversion. The fetus, in turn, may suffer craniofacial and intracranial injury.
   instrumental vaginal delivery in these risks are more numerous. With the use of forceps increased the likelihood and severity of vaginal laceration, postpartum and produces greater discomfort can injure the facial nerve of the newborn. Using suction cups, shows the cephalohematoma retinal hemorrhage and subarachnoid hemorrhage and subgaleal.
   
   
2. What are the future risks of a cesarean vs. vaginal delivery? Can the cesarean limit future fertility?
   Caesarean section is a procedure not without risk. The passage through the birth canal helps lung maturation and the removal of secretions from the airway of the fetus, effects that are lost in the caesarean section. It also increases the risk of uterine lacerations, bladder and ureteral injury, injury to the gastrointestinal tract, uterine atony endomyometritis, amniotic, and air embolism, septic pelvic thrombophlebitis and infection of the wound.
   A woman undergoing cesarean section introduces some added risk in their next birth, placenta previa, placenta accreta and uterine laceration probability. Moreover, in the event vaginal birth after cesarean increases the risk of uterine rupture, endometritis, and maternal death, and increased blood transfusion requirement. For these reasons, it is not recommended caesarean section in women who want more children.
   
   
3. Are there any clinical ethical problem here?
   There is. The patient wants to undergo caesarean section despite having no obstetric indication for it, which adds an element to be considered for the doctor when you need to explain the alternatives to the patient.
   In simple terms, the patient wants to change other proceedings for which no indication, due to fears that the former will produce. The decision, then, is being taken without adequate information about risks and benefits of each option, the obstetrician must provide.
   Then there is what the doctor thinks indicated on this at their discretion, experience and available evidence. Although caesarean section without obstetric indication can be done and, in fact, is is possible to assess the situation from a viewpoint based on principles. Autonomy
   . We are facing a competent patient, in full possession of his mental faculties, and now informed, who freely expressed their preference for caesarean section. Thus, accept or decline your request involves no respect or autonomy.
   No malice. Failure to perform caesarean section, there is harm to the patient in the sense of making you feel a pain that does not suffer, plus the ability to also require cesarean section, but as emergency procedure in a first vaginal delivery, but that complicated.
   If, by contrast, is performed, the ability to cause disease is more ambiguous. The available evidence suggests that caesarean section has more complications than vaginal delivery for both mother and fetus, but there are conflicting data. This prevents an unambiguous stance against this issue. Charity
   . Make caesarean section because a good mother, because it suits their desires. Do not do it well as serving a purpose is less clear because it is difficult to ensure that actually cause a good if not performed by the same arguments in the previous section.
   Justice. The procedure in question is not available for all patients. In the public health system, caesarean sections are performed only when obstetric indication for antepartum or you see it, but there is no alternative requested in this case.
   
   Obstetricians who have faced similar cases they try, usually argue in favor of vaginal delivery when there is no indication de cesárea. Si la paciente insiste, respetan sus deseos a menos que exista una contraindicación clara. En el sistema público la libertad de maniobra es menor, pero en casos puntuales se ha recurrido a interpretar laxamente las indicaciones de cesárea para poder incluir a la paciente en cuestión en el grupo de cesáreas electivas.

La paciente es informada de los riesgos, los beneficios del parto vaginal y de la cesárea. Ella justifica su insistencia en operarse, basada en el principio de autonomía.