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Consent in Pelvic Care.

Stephanie Tillman¹

¹University of Illinois at Chicago, Chicago, Illinois.

Journal of Midwifery & Women'S Health

|December 7, 2020

Summary

This summary is machine-generated.

Clear communication and enhanced frameworks like trauma-informed care are crucial for improving consent during intimate health examinations. Strengthening consent definitions ensures patient safety and trust in healthcare settings.

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Area of Science:

Medical Ethics
Patient Safety
Healthcare Communication

Background:

Current healthcare consent definitions are variable, leading to misunderstandings and potential assault.
Historical issues in gynecology, including misogyny and racism, have created contexts for assault disguised as care.
These issues persist in modern pelvic care, ranging from overt assault to coercion.

Purpose of the Study:

To analyze the current state of consent in healthcare, particularly intimate examinations.
To advocate for stronger, clearer definitions and practices of consent.
To highlight evidence-based frameworks for improving patient consent.

Main Methods:

Review of existing literature and ethical frameworks related to patient consent.
Analysis of historical and contemporary issues in gynecological and pelvic care.
Discussion of trauma-informed care and shared decision-making models.

Main Results:

Existing consent definitions in healthcare are often ambiguous and inconsistently applied.
Trauma-informed care and shared decision-making offer robust models for improving consent.
Specific populations and situations (e.g., first pelvic exam, LGBTQ+ care, history of assault) benefit from these enhanced approaches.

Conclusions:

Healthcare providers must strengthen and clarify the definition of consent for all intimate examinations.
Implementing trauma-informed language and practices is essential for ethical patient care.
Obtaining explicit consent for student involvement and chaperone presence is necessary.