Book contents
- Clinical Ethics in Anesthesiology
- Clinical Ethics in Anesthesiology
- Copyright page
- Dedication
- Contents
- Contributors
- Foreword
- Preface
- 1 Consent and refusal
- 1 Informed consent: respecting patient autonomy
- 2 Informed refusal – DNR orders in the patient undergoing anesthesia and surgery and at the end-of-life
- 3 Informed refusal – the Jehovah’s Witness patient
- 4 Surrogate decision-making
- 5 Informed consent and the pediatric patient
- 6 Do not resuscitate decisions in pediatric patients
- 7 Consent in laboring patients
- 8 Maternal–fetal conflicts: Cesarean delivery on maternal request
- 9 Consent for anesthesia for procedures with special societal implications: psychosurgery and electroconvulsive therapy
- 10 Ethical use of restraints
- 11 The use of ethics consultation regarding consent and refusal
- 12 Consent and cultural conflicts: ethical issues in pediatric anesthesiologists’ participation in female genital cutting
- 13 Communitarian values in medical decision-making: Native Americans
- 14 Informed consent for preoperative testing: pregnancy testing and other tests involving sensitive patient issues
- 2 End-of-life issues
- 3 Pain management
- 4 Research and publication
- 5 Practice issues
- 6 Anesthesiologists, the state, and society
- Index
7 - Consent in laboring patients
from 1 - Consent and refusal
Published online by Cambridge University Press: 05 March 2012
Book contents
- Clinical Ethics in Anesthesiology
- Clinical Ethics in Anesthesiology
- Copyright page
- Dedication
- Contents
- Contributors
- Foreword
- Preface
- 1 Consent and refusal
- 1 Informed consent: respecting patient autonomy
- 2 Informed refusal – DNR orders in the patient undergoing anesthesia and surgery and at the end-of-life
- 3 Informed refusal – the Jehovah’s Witness patient
- 4 Surrogate decision-making
- 5 Informed consent and the pediatric patient
- 6 Do not resuscitate decisions in pediatric patients
- 7 Consent in laboring patients
- 8 Maternal–fetal conflicts: Cesarean delivery on maternal request
- 9 Consent for anesthesia for procedures with special societal implications: psychosurgery and electroconvulsive therapy
- 10 Ethical use of restraints
- 11 The use of ethics consultation regarding consent and refusal
- 12 Consent and cultural conflicts: ethical issues in pediatric anesthesiologists’ participation in female genital cutting
- 13 Communitarian values in medical decision-making: Native Americans
- 14 Informed consent for preoperative testing: pregnancy testing and other tests involving sensitive patient issues
- 2 End-of-life issues
- 3 Pain management
- 4 Research and publication
- 5 Practice issues
- 6 Anesthesiologists, the state, and society
- Index
Summary
Principle-based medical ethics focuses on the four concepts of autonomy, beneficence, nonmaleficence and justice. Informed consent requires several elements: capacity of the patient to make a decision, freedom or voluntariness of the patient in decision-making, disclosure of adequate information to the patient, understanding of that information by the patient, and consent by the patient to the procedure. Ensuring that these elements have been addressed and obtaining consent for procedures in laboring patients can be extremely challenging. Every labor carries the risk of maternal-fetal conflicts. Cultural and religious beliefs may complicate care of the laboring patient and require consideration in managing ethical conflicts. When a laboring woman refuses critical intervention, all efforts should be made to inform her of the risks and benefits of refusal of treatment, including the use of interpreter services if needed to a conduct careful and complete discussion.
- Type
- Chapter
- Information
- Clinical Ethics in AnesthesiologyA Case-Based Textbook, pp. 44 - 48Publisher: Cambridge University PressPrint publication year: 2010