[Mrs. Don-o]

I'm confused. Are you referencing the original article here? That was not about a method of delivery, C-section or otherwise. That was about the separation of conjoined twins where only one could survive. That's ethical because you are not directly killing one twin, even if Twin #1 dies as a result of a genuinely therapeutic procedure saving Twin #2.

The C-section discussion further down the thread is with reference to another situation, where a midwife might be considering a craniotomy (crushing or lopping off a baby's head) when managing a badly-positioned twin delivery.

Deliberate craniotomy is always wrong. ON the other hand, if you're trying to save both, but a baby tragically dies because of a traumatic attempted forceps delivery, that's a different matter. The outcome would be the same (one dead baby, one live one) but the act that resulted in the decease of one of the babies was not deliberately lethal. It was an attempted live delivery for both.

[Cicero]

So, I was right the first time, misunderstood some of the later comments, and thought I had misunderstood the article. OK, thanks for clearing it up.