Assessing informed consent practices during normal vaginal delivery and immediate postpartum care in tertiary-level hospitals of Bangladesh
This article was published in the European Journal of Midwifery [© 2019 Karim M.A. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non Commercial 4.0 International License. (http://creativecommons.org/licenses/by-nc/4.0)] and the definite version is ava...
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European Journal of Midwifery
2022
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10361-164792022-03-24T21:01:28Z Assessing informed consent practices during normal vaginal delivery and immediate postpartum care in tertiary-level hospitals of Bangladesh Karim, Md Abdul Ahmed, Syed Imran Ferdous, Jannatul Islam, Bushra Zarin Tegegne, Henok Ayalew Aktar, Bachera Brac James P. Grant School of Public Health Informed consent Normal vaginal delivery Respectful maternity care Tertiary-level Hospital This article was published in the European Journal of Midwifery [© 2019 Karim M.A. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non Commercial 4.0 International License. (http://creativecommons.org/licenses/by-nc/4.0)] and the definite version is available at: https://doi.org/10.18332/ejm/109311 The Journal's website is at: http://www.europeanjournalofmidwifery.eu/Assessing-Informed-Consent-Practices-During-Normal-Vaginal-Delivery-Process-and-Immediate,109311,0,2.html INTRODUCTION This study was conducted to assess the informed consent practices during normal vaginal delivery (NVD) process and immediate postpartum care in the tertiary-level hospitals of Bangladesh. METHODS A cross-sectional study was conducted at Dhaka Medical College Hospital (DMCH) and Sir Salimullah Medical College & Mitford Hospital (SSMCH) in November 2015. The study population and respondents were mothers who gave normal vaginal childbirth within the past 24 hours and received postpartum care in the study sites (N=190). The interview of every alternate mother from the patient register was conducted by researchers using a structured questionnaire. Descriptive analysis of findings was carried out using MS Excel 2013. RESULTS The study findings revealed the complete absence of informed consent practices during NVD and postpartum care in the tertiary-level hospitals in Bangladesh. Consent (not informed consent) was taken from 95% of the mothers before proceeding with the NVD process, 50–72% of examinations (except breast examination, 0%) and 8–72% of procedures during postpartum care. Choice and preferences of mothers for taking an alternative process/examination/procedure were absent in all cases. CONCLUSIONS The Respectful Maternity Care (RMC) Charter endorsed informed consent as one of the basic rights of child-bearing women. Absence of informed consent practices in the study sites indicates disrespect to maternity care and violation of this right. The Standard Clinical Management Protocols of Bangladesh also lacks clarification of this right. Improvement of the existing protocol, increased awareness and practices are essential to address protection of this right. Published 2022-03-24T04:52:31Z 2022-03-24T04:52:31Z 2019 2019-05-21 Journal Article Karim, M. A., Ahmed, S. I., Ferdous, J., Islam, B. Z., Tegegne, H. A., Aktar, B. (2019). Assessing informed consent practices during normal vaginal delivery and immediate postpartum care in tertiary-level hospitals of Bangladesh. European Journal of Midwifery, 3(May). https://doi.org/10.18332/ejm/109311 http://hdl.handle.net/10361/16479 https://doi.org/10.18332/ejm/109311 en_US http://www.europeanjournalofmidwifery.eu/Assessing-Informed-Consent-Practices-During-Normal-Vaginal-Delivery-Process-and-Immediate,109311,0,2.html European Journal of Midwifery application/pdf European Journal of Midwifery |
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Brac University |
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Institutional Repository |
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en_US |
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Informed consent Normal vaginal delivery Respectful maternity care Tertiary-level Hospital |
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Informed consent Normal vaginal delivery Respectful maternity care Tertiary-level Hospital Karim, Md Abdul Ahmed, Syed Imran Ferdous, Jannatul Islam, Bushra Zarin Tegegne, Henok Ayalew Aktar, Bachera Assessing informed consent practices during normal vaginal delivery and immediate postpartum care in tertiary-level hospitals of Bangladesh |
description |
This article was published in the European Journal of Midwifery [© 2019 Karim M.A. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non Commercial 4.0 International License. (http://creativecommons.org/licenses/by-nc/4.0)] and the definite version is available at: https://doi.org/10.18332/ejm/109311 The Journal's website is at: http://www.europeanjournalofmidwifery.eu/Assessing-Informed-Consent-Practices-During-Normal-Vaginal-Delivery-Process-and-Immediate,109311,0,2.html |
author2 |
Brac James P. Grant School of Public Health |
author_facet |
Brac James P. Grant School of Public Health Karim, Md Abdul Ahmed, Syed Imran Ferdous, Jannatul Islam, Bushra Zarin Tegegne, Henok Ayalew Aktar, Bachera |
format |
Journal Article |
author |
Karim, Md Abdul Ahmed, Syed Imran Ferdous, Jannatul Islam, Bushra Zarin Tegegne, Henok Ayalew Aktar, Bachera |
author_sort |
Karim, Md Abdul |
title |
Assessing informed consent practices during normal vaginal delivery and immediate postpartum care in tertiary-level hospitals of Bangladesh |
title_short |
Assessing informed consent practices during normal vaginal delivery and immediate postpartum care in tertiary-level hospitals of Bangladesh |
title_full |
Assessing informed consent practices during normal vaginal delivery and immediate postpartum care in tertiary-level hospitals of Bangladesh |
title_fullStr |
Assessing informed consent practices during normal vaginal delivery and immediate postpartum care in tertiary-level hospitals of Bangladesh |
title_full_unstemmed |
Assessing informed consent practices during normal vaginal delivery and immediate postpartum care in tertiary-level hospitals of Bangladesh |
title_sort |
assessing informed consent practices during normal vaginal delivery and immediate postpartum care in tertiary-level hospitals of bangladesh |
publisher |
European Journal of Midwifery |
publishDate |
2022 |
url |
http://hdl.handle.net/10361/16479 https://doi.org/10.18332/ejm/109311 |
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