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| 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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| 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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| 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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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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| 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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