| Titre : | Ethical issues in offering birth mode choice to pregnant people in the UK: a critical interpretive synthesis (2024) |
| Auteurs : | Jaclyn R. Kaye ; Mairead Black |
| Type de document : | Article |
| Dans : | Midwifery Digest (Midirs) (Vol. 34, n° 3, September 2024) |
| Article en page(s) : | p. 244-245 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Accouchement (procédure) ; Accouchement par voie vaginale après césarienne ; Césarienne ; Comportement de choix ; Ethique ; Parturition ; Prise de décision |
| Résumé : |
Objective: Following a Supreme Court decision, the NHS in the UK must provide pregnant people with the information needed to make an informed choice about planning vaginal or caesarean birth. The Plan A research project is developing a decision aid to assist clinicians in fulfilling this obligation. To support the decision aid's creation, this paper reviews the literature on ethical considerations around birth mode choices and the communication of these options to pregnant people.
Methods: MEDLINE search and critical interpretive synthesis of literature focusing on analysis of the most relevant arguments. Results: Published research on ethical considerations, including valuation of risks/benefits; pregnant people's autonomy; gender-based oppression and health care access justice; clinical intentions of non-maleficence and beneficence; mental health impacts of choice; financial costs; burden of choice; bias and knowledge gaps; and conflicts in how clinician opinion can be used in service of both good medical practice and oppressive power imbalance. Conclusion: Pregnant people should not lose their right to autonomy solely based on their being pregnant, so they should benefit from the usual safeguarding of autonomy that NHS patients appreciate in other situations. The risks and benefits of planned vaginal and caesarean birth modes will be valued differently by everyone. A decision aid should therefore clearly communicate these details to pregnant people and be offered alongside as much or as little decisional support as individuals desire. An ethical decision aid must also be kept updated to reflect the latest evidence. |
| Disponible en ligne : | Non |
Exemplaires (1)
| Cote | Support | Localisation | Section | Disponibilité |
|---|---|---|---|---|
| Midwifery Digest | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |
