Autonomie rodiny versus beneficence matky: je otec u porodu oporou nebo přítěží?
Family autonomy versus mother’s benefit: is the father a support or a burden during childbirth?

Summary/Abstract: The aim of the paper is to analyze an ethically controversial situation of a prolonged and painfully exhausting birth with the presence of the father, who insists on the original, notarized, birth plan, where both refused epidural anesthesia. The mother changes her mind, but the father argues that he is the representative of the family coming into existence at a time when the mother is unable to realistically perceive her surroundings due to the pain. The research question is: Who has the authority to make the decision? The collection of case reports with ethically controversial topics from medical practice has been carried out at the Faculty of Medicine of the University of Olomouc since 2021 within the framework of the TACR project. The respondents are physicians in the specialization course with an average age of 33 years. The results are anonymous typical case studies of the contemporary czech medicine. The case report “Childbirth according to Plan” is taught using Case Based Learning method, presented by story-telling method. The results are presented using the Four Boxes method. According to the experts’ evaluation, it is indicated what the medical staff did correctly and what they did not. How the medical students reacted to the case study is also described. In midwifery, the needs and demands of users are changing and the requirements for knowledge of ethics, law, and communication in the health professions are increasing.

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