Quality of Informed Consent Practices around the Time of Childbirth: A Cross-Sectional Study in Italy

International Journal of Environmental Research and Public Health

卷:19

Ilaria Mariani¹  Emanuelle Pessa Valente¹  Benedetta Covi¹  Marzia Lazzerini¹ 

[1]Institute for Maternal and Child Health, IRCCS “Burlo Garofolo”, WHO Collaborating Centre for Maternal and Child Health, Via dell’Istria 65/1, 34137 Trieste, Italy

关键词: informed consent;    childbirth;    WHO standards;    healthcare provider;    quality of care;    quality improvement;   

DOI  :  10.3390/ijerph19127166

来源: DOAJ

【 摘 要 】

Background: Few studies have explored consent request practices during childbirth. Objective: We explored consent request practices during childbirth in a referral hospital and research centre in Italy, capturing both women and health workers’ perspectives. Methods: Data were collected using self-administrated questionnaires between December 2016 and September 2018. Nine key maternal and newborn procedures were analysed. Associations between consent requests and women characteristics were explored by multiple logistic regression. Results: Among 1244 women, the rate of consent requests varied widely, with caesarean section (CS) showing the highest rate (89.1%) and neonatal conjunctivitis prophylaxis presenting the lowest rate (11.4%). Information provided on “risks/benefits” and “reasons” for procedures by health staff was most often not comprehensive for procedures of interest (range 18.6–87.4%). The lack of informed consent is not specifically linked to any pattern of women characteristics. According to 105 health workers, adequate protocols and standard forms for consent requests were available in 67.6% and 78.1% of cases, respectively, while less than one third (31.4%) reported having received adequate training and supportive supervision on how to deliver informed consent. Conclusions: Study findings align with previous evidence showing that consent request practices during childbirth need to be largely improved. More research is needed to investigate effective strategies for improvement.

【 授权许可】

Unknown