Issues of consent for regional analgesia in labour: a survey of obstetric anaesthetists

Anaesthesia and Intensive Care
J D B Black, A M Cyna

Abstract

Anaesthetists are legally obliged to obtain consent and inform patients of material risks prior to administering regional analgesia in labour. We surveyed consultant members of the Australian and New Zealand College of Anaesthetists with a special interest in obstetric anaesthesia, in order to identify and compare which risks of regional analgesia they report discussing with women prior to and during labour. We also asked about obstetric anaesthetists' beliefs about informed consent, the type of consent obtained and its documentation. Of 542 questionnaires distributed, 291 responses (54%) were suitable for analysis. The five most commonly discussed risks were post dural puncture headache, block failure, permanent neurological injury, temporary leg weakness and hypotension. Obstetric anaesthetists reported discussing a mean of 8.0 (SD 3.8) and 10 (SD 3.8) risks in the labour and antenatal settings respectively. Nearly 20% of respondents did not rank post dural puncture headache among their top five most important risks for discussion. Seventy percent of respondents indicated that they believe active labour inhibits a woman's ability to give 'fully informed consent'. Over 80% of respondents obtain verbal consent and 57 (20%) have...Continue Reading

References

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Citations

Sep 21, 2011·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Rachel ReidAlec W Welsh
Jan 4, 2012·Paediatric Anaesthesia·Zoe LaganaAllan M Cyna
Jun 6, 2014·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Alan R TaitTerri Voepel-Lewis
Mar 25, 2011·Anesthesia and Analgesia·Brian M Broaddus, Shobana Chandrasekhar
Apr 19, 2006·Anaesthesia and Intensive Care·M Paech
Apr 8, 2010·Anaesthesia and Intensive Care·U Q Babitu, A M Cyna
Feb 28, 2007·Anaesthesia and Intensive Care·W Y C ChengK D Osborn
Apr 24, 2008·Anesthesiology·Alison J Macarthur
Jun 28, 2016·Anaesthesia and Intensive Care·D Blackford
Oct 7, 2020·ANZ Journal of Surgery·Angela Li Ching NgKevin Seex
Apr 7, 2007·Current Opinion in Anaesthesiology
Oct 14, 2017·British Journal of Anaesthesia·A M Cyna, S W Simmons

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