Ethical Implications of Obstetric Care in Hungary: Results from the Mother-Centred Pregnancy Care Survey

IF 0.6 Q4 PSYCHOLOGY, CLINICAL

European Journal of Mental Health Pub Date : 2018-01-01 DOI:10.5708/EJMH.13.2018.1.5

I. Szebik, É. Susánszky, N. Rubashkin

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引用次数: 5

Abstract

Background: Informed consent plays an important role in clinical decision making. It is a basis of self determination in health care. In ideal situations health care professionals inform their patients about all relevant aspects of care and alternative care options, map the value system of the patients, and adjust the information process accordingly. Objectives: Our objective was to see the frequency of selected interventions (birth induction, caesarean section, episiotomy, forced supinal position during birth, and the consent process associated to these interventions. Methods : 1,257 women (with childbearing capacity) between the age of 18 and 45 with children under the age of 5 were surveyed online. Results: Caesarian section was done without permission in 10.2 % of women. Labour was inducted in 22.2 % of all deliveries and it was done without permission in 25.4 % . Episiotomy was done in 39.9% of women having vaginal delivery in the Sample 2 group and in 72.2% of women having vaginal delivery in the Sample 1 (representative) group. Women undergoing episiotomy were not asked for consent in 62.0 % in the Sample 1 group and in 57.1 % in the Sample 2 group. Freedom to choose labour position for women having vaginal birth was restricted in 65.7 % in the Sample 1 group and in 46% in the Sample 2 group. Discussion and Conclusions: We have found that the right of women to informed consent and best available treatment is frequently and seriously violated in obstetric practice in Hungary in the given period. These findings should serve as an important basis for improving the quality of maternity care.

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匈牙利产科护理的伦理意义:以母亲为中心的妊娠护理调查结果

背景:知情同意在临床决策中起着重要作用。这是保健方面自决的基础。在理想的情况下，卫生保健专业人员告知患者有关护理和替代护理方案的所有相关方面，绘制患者的价值体系，并相应地调整信息处理。目的:我们的目的是观察选定干预措施(引产、剖腹产、会阴切开术、分娩时强制仰卧位)的频率，以及与这些干预措施相关的同意过程。方法:对有5岁以下子女的18 ~ 45岁有生育能力妇女1257人进行网上调查。结果:10.2%的产妇在未经允许的情况下进行了剖腹产。22.2%的分娩是引产，25.4%的分娩是未经许可的。样本2组中39.9%的阴道分娩妇女和样本1(代表性)组中72.2%的阴道分娩妇女进行了外阴切开术。62.0%的样本1组和57.1%的样本2组接受外阴切开术的妇女没有征求同意。在样本1组中，65.7%的妇女选择阴道分娩的自由受到限制，在样本2组中，这一比例为46%。讨论和结论:我们发现，在此期间，在匈牙利的产科实践中，妇女知情同意和获得最佳治疗的权利经常受到严重侵犯。这些发现可作为提高产妇护理质量的重要依据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Mental Health PSYCHOLOGY, CLINICAL-

CiteScore

0.70

自引率

14.30%

发文量

期刊介绍： The European Journal of Mental Health, an open-access, peer reviewed, interdisciplinary, professional journal concerned with mental health, personal well-being and its supporting ecosystems that acknowledge the importance of people’s interactions with their environments, established in 2006, is published on 280 pages per volume in English and German by the Semmelweis University Institute of Mental Health. The journal’s professional oversight is provided by the Editor-in-Chief and an international Editorial Board, assisted by an Advisory Board. The semiannual journal, with issues appearing in June and December, is published in Budapest. The journal aims at the dissemination of the latest scientific research on mental health and well-being in Europe. It seeks novel, integrative and comprehensive, applied as well as theoretical articles that are inspiring for professionals and practitioners with different fields of interest: social and natural sciences, humanities and different segments of mental health research and practice. The primary thematic focus of EJMH is the social-ecological antecedents of mental health and foundations of human well-being. Most specifically, the journal welcomes contributions that present high-quality, original research findings on well-being and mental health across the lifespan and in historical perspective.