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  #1 (permalink)  
Old 14-Apr-2008, 11:18
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Default Ethical topic required for Access Essay

Hi All, i'm doing my first essay at level 3 and need an ethical topic to discuss in a 1500 word essay. Any suggestions would be gratefully received as i've never done this before!! Some i've though of are.

Planned c section v's Natural labour!
Home birth V's Hospital birth
Is Water Birth Safe?
40+ mothers

I'm looking for a topic easy to research!

Cheers
Jayne X
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Old 14-Apr-2008, 11:20
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Default Re: Ethical topic required for Access Essay

Does it have to be midwifery related, because I know of a few ethical topics that are easy to research, as I have been doing some on my Access course in social policy.
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Old 14-Apr-2008, 11:38
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Default Re: Ethical topic required for Access Essay

Yes it does realy, as it has to be on the subject that is of most interest to you.

As i'm doing Access to Midwifery i can't realy digress onto anything else.

Thanks for your reply though.

Jayne X
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Old 14-Apr-2008, 12:08
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Default Re: Ethical topic required for Access Essay

My favourite ethics/midwifery subject is the use of sytometrine for active management of the 3rd stage. Many women arent given the opportunity to make an informed choice and are just stabbed with the the syno and thats it. Its a straightforward topic - active mgt vs physiological mgt and the ethics angle of consent and informed choice. The NMC is very clear on consent and the RCM has position papers on right to refuse treatment and women centered care.
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Old 14-Apr-2008, 16:21
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Default Re: Ethical topic required for Access Essay

A really good one is the ethical debate around the edge of viability, and whether to resusitate or not. We had a debate on this at uni and it got very heated at times. The views of midwives differ greatly from paeds and both differ from the parents perspective. Some very good research around from the Netherlands.
KS x
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Old 14-Apr-2008, 17:01
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Default Re: Ethical topic required for Access Essay

Originally Posted by Josie View Post
My favourite ethics/midwifery subject is the use of sytometrine for active management of the 3rd stage. Many women arent given the opportunity to make an informed choice and are just stabbed with the the syno and thats it. Its a straightforward topic - active mgt vs physiological mgt and the ethics angle of consent and informed choice. The NMC is very clear on consent and the RCM has position papers on right to refuse treatment and women centered care.
I agree, i think this is a brilliant topic to explore. I know from personal experience that most women arnt really given the choice and its just a straight forward, "im just going to give you this injetion into your leg to help with the afterbirth", then in it goes without a second thought!!

xx
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Old 14-Apr-2008, 17:13
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Default Re: Ethical topic required for Access Essay

I had to do a presentation for the ethics module of my midwifery course - I looked at the issue of consent, having seen a case where a woman had an instrumental delivery, and didn't realise until afterwards that an Episiotomy had been done - the doctor assumed that as she consented to the forceps, consent for an Episiotomy was implied.
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Old 14-Apr-2008, 17:28
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Default Re: Ethical topic required for Access Essay

Originally Posted by Dory View Post
I had to do a presentation for the ethics module of my midwifery course - I looked at the issue of consent, having seen a case where a woman had an instrumental delivery, and didn't realise until afterwards that an Episiotomy had been done - the doctor assumed that as she consented to the forceps, consent for an Episiotomy was implied.

That happened to me Dory. And I have seen that in practice. Most women do not know and are not told at the time that this will be needed. I am ashamed to say when I first saw this I said nothing as I was horrified and didn't want to speak out on my first week ever in Delivery suite.

It happened again a few weeks ago and I spoke out before it was done. Doctors just don't seem to think the woman should know, let alone consent
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Old 14-Apr-2008, 21:07
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Default Re: Ethical topic required for Access Essay

Also vaginal examinations, or I think ARM- breaking the Waters is a good one, I mean how often is that a fully informed decision???
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Old 14-Apr-2008, 22:21
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Default Re: Ethical topic required for Access Essay

IVF in older women
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