RESUMEN
No disponible
Asunto(s)
Adulto , Femenino , Humanos , Embarazo , Acceso a la Información , Servicios de Información sobre Medicamentos/normas , Comunicación en Salud/métodos , Educación del Paciente como Asunto/métodos , Educación del Paciente como Asunto/organización & administración , Analgesia Obstétrica/instrumentación , Analgesia Obstétrica/métodos , Analgesia Obstétrica , /métodos , Analgesia Obstétrica/ética , Analgesia Obstétrica/normas , Analgesia Obstétrica/tendencias , Tercer Trimestre del Embarazo , Tercer Trimestre del Embarazo/fisiología , Encuestas y CuestionariosRESUMEN
Women recognise that labour represents a mind-altering event that may affect their ability to make and communicate decisions and choices. For this reason, birth plans and other pre-labour directives can represent a form of Ulysses contract: an attempt to make binding choices before the sometimes overwhelming circumstances of labour. These choices need to be respected during labour, but despite the reduced decisional and communicative capacity of a labouring woman, her choices, when clear, should supersede decisions made before labour.
Asunto(s)
Directivas Anticipadas , Analgesia Obstétrica/ética , Conducta de Elección , Consentimiento Informado , Dolor de Parto/tratamiento farmacológico , Trabajo de Parto , Competencia Mental , Parto , Autonomía Personal , Parto Vaginal Después de Cesárea/ética , Anestesia Epidural/ética , Beneficencia , Contratos , Toma de Decisiones , Femenino , Humanos , Consentimiento Informado/ética , Consentimiento Informado/psicología , Dolor de Parto/psicología , Trabajo de Parto/psicología , Metáfora , Parto/psicología , EmbarazoRESUMEN
No disponible
Asunto(s)
Humanos , Masculino , Femenino , Analgesia Epidural/tendencias , Analgesia Epidural , Dolor de Parto/tratamiento farmacológico , Analgesia Obstétrica/instrumentación , Analgesia Obstétrica/métodos , Parto , Analgesia Obstétrica/ética , Analgesia Obstétrica/estadística & datos numéricos , Analgesia Obstétrica/tendenciasRESUMEN
Anaesthetists are legally obliged to obtain informed consent before performing regional analgesia in labour. A postal survey of consultant-led UK anaesthetic units was performed in September 2007 to assess practice regarding obtaining informed consent before inserting an epidural, and documentation of the risks discussed. The response rate was 72% (161/223). There was great variation between units regarding which risks women were informed about and the likely incidence of that risk. One hundred and twenty-three respondents out of 157 providing an epidural service (78%) supported a national standardised information card endorsed by the Obstetric Anaesthetists' Association, with all the benefits and risks stated, to be shown to all women before consenting to an epidural in labour.
Asunto(s)
Analgesia Epidural/ética , Analgesia Obstétrica/ética , Consentimiento Informado/estadística & datos numéricos , Analgesia Epidural/efectos adversos , Analgesia Obstétrica/efectos adversos , Femenino , Encuestas de Atención de la Salud , Humanos , Trabajo de Parto , Educación del Paciente como Asunto , Embarazo , Práctica Profesional/estadística & datos numéricos , Medición de Riesgo/métodos , Reino UnidoRESUMEN
The decision-making process in childbearing women regarding birth preferences raises ethical dilemmas related to caring for women during labor and birth. Giving birth is a powerful, life-changing event that leaves a lasting impact on the childbearing woman. The birth experience may be perceived positively or negatively or with feelings of ambivalence. This descriptive qualitative study asked what factors influence a woman's change in her stated birth preference from an unmedicated birth to a medicated birth. A purposive convenience sample of 33 primiparous and multiparous childbearing women who had changed their stated birth preference for pain management during labor participated in interviews conducted within a month of giving birth. Themes included wanting an unmedicated birth; changing to a medicated birth; feeling disappointed, ambivalent, or satisfied; and reflecting on the change. Changing birth preferences is a result of many complex factors, including the influence of professional support by nurses. Ethical principles such as autonomy, veracity, beneficence, informed consent, standard of best interest, and obligations should be applied when caring for laboring women, framed by the ethics of caring.
Asunto(s)
Analgesia Obstétrica/psicología , Toma de Decisiones/ética , Ética en Enfermería , Trabajo de Parto/psicología , Madres/psicología , Enfermería Neonatal/ética , Participación del Paciente/psicología , Adulto , Analgesia Obstétrica/ética , Analgesia Obstétrica/enfermería , Conducta de Elección/ética , Técnicas de Apoyo para la Decisión , Empatía , Femenino , Humanos , Consentimiento Informado/ética , Consentimiento Informado/psicología , Modelos Psicológicos , Madres/educación , Enfermería Neonatal/organización & administración , Rol de la Enfermera/psicología , Relaciones Enfermero-Paciente/ética , Investigación Metodológica en Enfermería , Defensa del Paciente/ética , Defensa del Paciente/psicología , Educación del Paciente como Asunto/ética , Embarazo , Ética Basada en Principios , Investigación Cualitativa , Apoyo Social , Encuestas y Cuestionarios , Estados UnidosAsunto(s)
Analgesia Obstétrica/enfermería , Consentimiento Informado , Dolor de Parto/enfermería , Partería/normas , Analgesia Obstétrica/ética , Analgesia Obstétrica/normas , Analgésicos/uso terapéutico , Ética en Enfermería , Femenino , Humanos , Consentimiento Informado/legislación & jurisprudencia , Partería/ética , Embarazo , Estados UnidosRESUMEN
The care of women experiencing labor pain often challenges midwives to provide ethical informed consent for the pharmacologic strategies common in most of America's childbearing environments. A systematic approach to this clinical dilemma begins with a conceptual understanding of the origins of labor pain stimuli, factors affecting their central nervous system processing, and the differentiation of the concepts of pain, suffering, and comfort. These concepts can be integrated into a labor pain care, rather than pain management, model for clinical practice. Because most midwives provide care for laboring women in acute care hospitals, the midwife must also understand how the standards of the Joint Commission on Accreditation of Healthcare Organizations influence the behavior of other professionals in the health care environment for laboring women and the process of informed consent. A systematic approach to informed consent for pharmacologic strategies for labor pain care strategies should begin during pregnancy and includes full, unbiased disclosure of the nature, benefits, risks, side effects, and efficacy of all methods that are available in the chosen birth setting.