An evaluation of informed consent prior to epidural analgesia for labor and delivery

Gerancher, J. C.; Grice, S. C.; Dewan, David M.; Eisenach, James C.

doi:10.1054/ijoa.1999.0371

Cited by 44 publications

(28 citation statements)

References 13 publications

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“…In a study of informed consent prior to epidural in labor, the majority of women reported that written consent would help them "remember and appreciate the different anesthetic options, risks, and procedures". 16 Only a minority of patients who underwent an ID could recall the risk of anal sphincter damage being discussed and only half of the women asked could recall the risk of an episiotomy being mentioned. Perineal trauma is a common and significant risk associated with ID and can be associated with considerable morbidity after the procedure.…”

mentioning

confidence: 99%

An audit of informed consent for cesarean section and instrumental delivery in a tertiary referral center in the United Kingdom

Glennon¹,

Tower²,

Gillham³

et al. 2011

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Purpose:To audit the process of informed consent for cesarean section (CS) and instrumental delivery (ID) in a tertiary referral center in the UK. Design: The Royal College of Obstetricians and Gynaecologists (RCOG) guidelines on consent 1 were used as audit standards. A retrospective questionnaire was used to assess patients' recall and views of the consent process. In total, 116 consent forms were audited (CS = 83, instrumental delivery = 33). Findings: The consent forms complied with the auditable standards on consent for CS, in relation to documentation of the major risks of surgery. The majority of CS consent forms did not meet the standards in terms of documentation of the risk of laceration to baby or the possibility of hysterectomy. However, most women were questioned on consent between contractions, in accordance with the RCOG guidance on consent (50% CS deliveries and 68% instrumental deliveries). The patients who consented for elective CS, were more likely than emergency CS patients to be able to recall the risks explained. Action: The findings of this audit indicate that the introduction of a standardized consent proforma would provide a structured approach to preoperative counselling and documentation.

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mentioning

confidence: 99%

An audit of informed consent for cesarean section and instrumental delivery in a tertiary referral center in the United Kingdom

Glennon¹,

Tower²,

Gillham³

et al. 2011

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“…9 These forms were really information pamphlets. In Canada, the CMPA advocates a simple, nonspecific form such as the one printed in the CMPA Consent guide.…”

mentioning

confidence: 99%

“…9 Ces formules étaient essentiellement des brochures d'information. Au Canada, l'ACPM conseille une formule simple, non spécifique comme celle qui apparaît dans son guide sur le consentement.…”

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Informed consent for epidural analgesia in labour

Smedstad

Beilby

2000

Can J Anesth/J Can Anesth

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“…8 When researchers investigated whether women in labor were capable of understanding information about anesthesia and recalling that information later, they found that the presence of labor does not undermine a patient's ability to understand or recall information about their treatment options (Gerancher et al 2000). It is only in rare instances that pregnant women lack the capacity to make treatment decisions.…”

Section: Childbirth and Consentmentioning

confidence: 99%

Obstetric Autonomy and Informed Consent

Flanigan

2015

Ethic Theory Moral Prac

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I argue that public officials and health workers ought to respect and protect women's rights to make risky choices during childbirth. Women's rights to make treatment decisions ought to be respected even if their decisions expose their unborn children to unnecessary risks, and even if it is wrong to put unborn children at risk. I first defend a presumption of medical autonomy in the context of childbirth. I then draw on women's birth stories to show that women's medical autonomy is often ignored during labor. Medical interventions are performed during childbirth without women's consent. Childbirth is risky and some coercive medical interventions may be understood as attempts to protect children and to prevent mothers from acting impermissibly. However, even if it is wrong to make risky choices during childbirth, women have rights to do wrong in these cases. Therefore, coercive medical interventions are impermissible during childbirth and institutions should adopt specific protections for obstetric autonomy.

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An evaluation of informed consent prior to epidural analgesia for labor and delivery

Cited by 44 publications

References 13 publications

An audit of informed consent for cesarean section and instrumental delivery in a tertiary referral center in the United Kingdom

An audit of informed consent for cesarean section and instrumental delivery in a tertiary referral center in the United Kingdom

Informed consent for epidural analgesia in labour

Obstetric Autonomy and Informed Consent

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