DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20204983

Exploring the adequacy of informed consent for caesarean section at a tertiary care center

Tejaswi V. P., Akshaya Dongare, Prateeksha Hegde, G. L. Patil, Shridevi A. S., Anitha S.

Abstract


Background: The objective was to study adequacy of valid informed consent in caesarean section and to quantify the proportion of patients who receive a proper informed consent before undergoing caesarean section.

Methods: A cross-sectional questionnaire-based study involving 200 registered antenatal women undergoing caesarean section for various reasons both as elective or emergency basis, and data was analyzed.

Results: Among the study group, 98.5% patients were informed about the said procedure in their own local language and consent was taken, in 3 (1.5%) patients informed consent was not taken. Detailed procedure was explained to only 29 patients (14.5%) whereas 171 patients (85.5%) had no clue about the detailed nature of the procedure. 193 patients (96.5%) were satisfied with the given informed patients; 7 patients (3.5%) were not satisfied.

Conclusions: Women need consistent and adequate information for consent. Sessions should be held regarding the procedure, its risks and benefits; in this way patient will undergo the procedure with proper knowledge, awareness and confidence.

 


Keywords


Informed consent, Caesarean section

Full Text:

PDF

References


Lawal, Y., Garba, E., Ogirima, M., Dahiru, I., Maitama, M., & Abubakar, K. (2011). The doctrine of informed consent in surgical practice. Annals of African Medicine, 10.

Peters M. In: M Peters, editor. The British Medical association Illustrated medical dictionary. 2nd ed. London Dorling Kindersley; 2008.

Gillon R. Philosophical medical ethics. ChiChester: Wiley and Sons; 1985.

Royal College Of Obstetricians And Gynecologists; Consent Advice No 7; October 2009

Paterick TJ, Carson GV, Allen MC, PatericknTE. Medical Informed Consent : General Considerations for Physcians. Mayo Clin Proc. 20008; 83(3): 313- 9

Ezeome ER, Marshall PA. Informed Consent practices in Nigeria. Dev World Bioeth . 2009;9(3):138-48.

Leclercq WKG, Keulers BJ, Scheltinga MRM, Spauwen PHM, van der Wilt G-J. A review of surgical informed consent: past, present, and future. A quest to help patients make better decisions. World J Surg. 2010;34(7):1406–15.

Ochieng J, Buwembo W, Munabi I, Ibingira C, Kiryowa H, Nzarubara G, et al. Informed consent in clinical practice: patients’ experiences and perspectives following surgery. BMC Res Notes. 2015;8(1):765.

Siddiqui FG, Fau SJ, Memon MM. An audit of informed consent in surgical patients at a university hospital. J Ayub Med Coll, Abbottabad. 2010;22(1):133–5.

International Journal of Reproduction, Contraception, Obstetrics and Gynecology Latika et al. Int J Reprod Contracept Obstet Gynecol. 2015 Jun;4(3):780-784

Kirane, A.G., Gaikwad, N.B., Bhingare, P.E. et al. “Informed” Consent: An Audit of Informed Consent of Cesarean Section Evaluating Patient Education and Awareness. J Obstet Gynecol India 65, 382–385 (2015).

Jhanak Rajgire et al. ; Consent for cesarean section: How much is informed?; Panacea Journal of Medical Sciences, May-August,2017;7(2): 62-64.