Understanding and recollection of the risks associated with cesarean delivery during the consent process

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
Modupe OdumosuDan Selo-Ojeme

Abstract

To investigate women's recall of information provided during the consent process for cesarean delivery, specifically the associated risks, 24 hours after the procedure. A prospective questionnaire-based study was conducted at the Barnet and Chase Farm Hospitals NHS Trust between May 2009 and August 2010. Women who had undergone a cesarean delivery (planned or emergency) completed a self-administered questionnaire 24 hours after delivery. Women who did not recall the risks associated with the procedure (group 1) were compared with those who did recall this information (group 2). A total of 554 women participated in the study. Group 1 (n=140) were 4 times more likely to have undergone an emergency cesarean than group 2 (n=414) (OR 4; 95% CI, 2.5-6.2). Group 2 were more to likely to have higher than secondary level education, 7 times more likely to have understood the explanation of the procedure (OR 6.9; 95% CI, 3.3-14.2), and 9 times more likely to recall that the risks had been explained (OR 9.4; 95% CI, 5.2-17.1). More women in group 1 reported that they would have liked to receive an information leaflet about cesarean delivery at the first prenatal visit. One in 4 women did not recall any risks associated with cesarean delive...Continue Reading

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Citations

May 11, 2013·American Journal of Obstetrics and Gynecology·Kirsten Salmeen, Cynthia Brincat

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