Informed Consent for Clinicians with Dr Bec Jenkinson
Clinicians' responsibilities when women decline recommended care
and strategies for managing women's 'non-standard' requests.
This four part series was recorded before a live audience on 9 July 2018 at Southern Cross University as part of our PBB Talks series..
and strategies for managing women's 'non-standard' requests.
This four part series was recorded before a live audience on 9 July 2018 at Southern Cross University as part of our PBB Talks series..
Informed decisions > Positive change
Part 1
Bec starts with a role play that the audience discusses in groups (see attachment below). (Note: a brief break was taken at just after 3 mins, before the session resumes.)
| pbb_talks__role_play_script.pdf |
Part 2
Dr Jenkinson looks at how often clinicians' meet the legal standard for informed consent. In a Queensland study* from 2010, of the 3500+ women surveyed:
Also discussed the "Perineal Bundle".
* Queensland Centre for Mothers and Babies: "Having a Baby in Queensland", 2010
- only 48% of women who had had a planned caesarean section were informed and had consented to have their procedure.
- 70% of women who had had epidural anaesthesia were informed and had consented to the procedure.
- 26% had not been informed or consented to their episiotomies.
Also discussed the "Perineal Bundle".
* Queensland Centre for Mothers and Babies: "Having a Baby in Queensland", 2010
Part 3
Dr Jenkinson addresses here the underlying medico-legal and cultural concerns of clinicians (ie their individual "lines in the sand"), and caselaw and proposed legislation regarding foetal victims of crime and the repercussions of that legislation if passed.
Part 4
Dr Jenkinson plays a Youtube video of the birth of US mother Kimberley Turbin's baby in 2014, in which a doctor performs an extensive episiotomy without her consent. Bec then leads a group discussion on the conduct of the nurse attending Mrs Turbin.
Bec then provides practical steps for how the audience can protect a woman's right to informed decision making in the workplace.
Bec then provides practical steps for how the audience can protect a woman's right to informed decision making in the workplace.
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Dr Bec JenkinsonBec Jenkinson completed a PhD in 2017, examining experiences of situations where pregnant women decline recommended care, and in particular processes that might enable respectful care. She is currently co-leading the development of a Queensland Health guideline for clinicians partnering with women who decline recommended maternity care. Bec is a Researcher, maternity consumer advocate, feminist and mum and is passionate about using academic research to promote respectful maternity care.
You can find more of Bec's work here. PBB Talks are live podcast presentations by experts in their field for the public and professionals, concluding with Q&A with the speaker. |
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