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Informed consent for caesarean section at a nigerian university teaching hospital: patients' perspective

Background: Caesarean section is one of the commonest obstetrics surgery and has become increasingly safer compared with the early 20th century. The practice of informed consent has also become universally adopted for surgical procedures. However, with increasing knowledge about ethics and rights, i...

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Published: 2015-04
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LEADER 00000njm a2000000a 4500
001 oai:repository.ui.edu.ng:123456789/11751
042 |a dc 
720 |a Ogunbode, O. O.  |e author 
720 |a Oketona, O. O.  |e author 
720 |a Bello, F. A.  |e author 
260 |c 2015-04 
520 |a Background: Caesarean section is one of the commonest obstetrics surgery and has become increasingly safer compared with the early 20th century. The practice of informed consent has also become universally adopted for surgical procedures. However, with increasing knowledge about ethics and rights, issues on consent is one of the frequent grounds for litigation and malpractice claims. Aims and Objectives: To audit the process of informed consent for emergency and elective caesarean section in a Nigerian tertiary health care setting. Methodology: This was a descriptive cross-sectional study involving 150 patients who had caesarean delivery at the study site within the study period. Results: The mean age of the respondents was 32±1.8 years with 118(79%) of the surgeries being emergency Cesarean sections. The consent for CS were mostly given by the patients (96, 64.0%) and husbands (43, 28.6%). Majority of the respondents 123(81.5%) had the consent obtained in the labour ward with profuse bleeding (86.0%) and blood transfusions (88.7%) being the most commonly discussed risks. Many of the respondents expressed satisfaction with the consent form and felt it was well written (75.3%), attractive (76.0%) and simple to read (75.3%). Conclusion: This study found out that although patients were satisfied with the consent process for caesarean section, only information about major risks was commonly discussed. There is therefore the need for customized and detailed consent forms to be adopted for different surgical procedures. 
024 8 |a 0189-5117 
024 8 |a ui_art_ogunbode_informed_2015 
024 8 |a Tropical Journal of Obstetrics and Gynaecology 32(1), pp.55-63 
024 8 |a https://repository.ui.edu.ng/handle/123456789/11751 
653 |a Caesarean section 
653 |a Informed consent 
653 |a Patients' perspective 
653 |a Risk 
245 0 0 |a Informed consent for caesarean section at a nigerian university teaching hospital: patients' perspective