Birthing on one's own terms: Reframing delivery mode choice within reproductive justice in Switzerland

Abstract A core principle of reproductive justice (RJ) is the right to have children under one's chosen conditions, emphasizing bodily autonomy. While RJ focuses on equitable access to parenthood, the choice of delivery mode is rarely analyzed through this lens. Some forgo parenthood rather than give birth vaginally; others prioritize vaginal birth despite medical indications for a cesarean. In response, a growing number of obstetricians acknowledge the importance of self‐determination in decision‐making once parents are adequately informed. However, others refuse to consider rationales beyond strictly evidence‐based medicine, sometimes leading to forms of informal coercion. Based on ethnographic research in two Swiss public hospitals and interviews with parents and obstetricians, I examine parents’ trajectories and interactions with healthcare providers. I argue for reframing delivery mode choice within an RJ framework and propose radical compassion as a means to advance RJ in this context.