Informed consent practice for obstetric and gynaecologic procedures: A patients' perspective from a developing country

Journal of Evaluation in Clinical Practice
Muhammad F ZeeshanUmair Qazi

Abstract

To assess the surgical informed consent (SIC) practices for obstetric and gynaecological (OB-GYN) procedures at different hospitals in Pakistan. Study was conducted in five hospitals (three public and two private) of Peshawar, Pakistan. A pretested structured tablet-based questionnaire was administered from October 2016 through January 2017 among post-op OB-GYN patients. About 27% of the patients (significantly more in private hospitals, P = 0.001) did not remember a formal consent administration. Most patients (80%) felt they had no choice about signing the consent. About 65% (mostly in public as compared with private hospitals) mentioned that they would have signed it regardless of the specifics in it (P < 0.001). Patients had increased odds to recall consent if they felt empowered, odds ratio (OR) = 4.5; had an opportunity to ask questions, OR = 7.2; wanted more explanation, OR = 2.8; and had consent administered in their mother tongue, OR = 6.9. Patients' recall of key elements of consent was low. The time spent with the patient for consenting was much shorter than recommended. The printed consent forms were mostly not available in patients' mother tongue. Consent practice for OB-GYN procedures was suboptimal in studied hos...Continue Reading

References

Apr 3, 1993·BMJ : British Medical Journal·C Lavelle-JonesA Cuschieri
Apr 2, 1998·Journal of Personality and Social Psychology·M E Lachman, S L Weaver
May 20, 2000·Acta neurochirurgica·W KruppV Seifert
Sep 24, 2004·BJOG : an International Journal of Obstetrics and Gynaecology·Andrea AkkadMarwan Habiba
Apr 6, 2005·The Journal of Laryngology and Otology·Paul BurnsConrad Timon
Oct 4, 2005·Academic Medicine : Journal of the Association of American Medical Colleges·Heather B ShermanJohn X Thomas
Mar 5, 2008·Mayo Clinic Proceedings·Joshua B Murphy
Nov 1, 2008·Journal of Medical Ethics·A BhanguS Mangaleshkar
May 30, 2009·Journal of the American College of Surgeons·Ryan ChildersTimothy M Pawlik
Jul 23, 2009·Obstetrics and Gynecology·UNKNOWN ACOG Committee on Ethics
Sep 1, 2009·American Journal of Surgery·Matthew E FalagasGeorge Peppas
Nov 26, 2009·SAHARA J : Journal of Social Aspects of HIV/AIDS Research Alliance·Kyriaki MystakidouEfi Parpa
Apr 2, 2010·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Yael SchenkerDean Schillinger
Apr 8, 2010·World Journal of Surgery·Wouter K G LeclercqGert-Jan van der Wilt
Sep 14, 2010·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Julia Tatum KranklLisa Soleymani Lehmann
Jun 2, 2011·South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde·A DhaiM Vorster
May 24, 2012·Journal of General Internal Medicine·Glyn ElwynMichael Barry
Jun 14, 2013·Animal : an International Journal of Animal Bioscience·P MurphyR P O Schulte
Nov 15, 2014·International Journal of Health Policy and Management·Bushra AshrafKhaleeq-Uz- Zaman

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