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Related Concept Videos

SBAR II: Application of SBAR01:14

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
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Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
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Appropriately framing maternal request caesarean section.

Elizabeth Chloe Romanis1

  • 1Gender and Law at Durham, Durham University, Durham DH1 3LE, UK elizabeth.c.romanis@durham.ac.uk.

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|January 7, 2022
PubMed
Summary
This summary is machine-generated.

Maternal request caesarean sections (MRCS) are often sought for clinical needs, not without benefit. Reforming counselling requires acknowledging patient-valued benefits and addressing clinician-held biases for equitable access.

Keywords:
ethics- medicalreproductive medicinewomen's rights

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Area of Science:

  • Obstetrics and Gynecology
  • Medical Ethics
  • Patient Advocacy

Background:

  • Maternal request caesarean sections (MRCS) are debated due to perceived lack of medical benefit.
  • Existing approaches to MRCS counselling may not adequately address patient vulnerability.
  • The framing of MRCS as lacking benefit warrants critical examination.

Purpose of the Study:

  • To challenge the notion that MRCS offers no anticipated medical benefit.
  • To advocate for a reform in MRCS counselling that acknowledges patient-centered benefits.
  • To encourage open dialogue on the values influencing the clinical perception of MRCS.

Main Methods:

  • Critical analysis of existing literature and ethical frameworks regarding MRCS.
  • Argumentative approach based on clinical observation and patient-centered perspectives.
  • Review of the concept of 'clinical need' in the context of elective caesarean birth.

Main Results:

  • MRCS is frequently pursued due to a perceived clinical need by the birthing person.
  • The presentation of MRCS as unduly risky often lacks robust empirical support.
  • Discrepancies exist between patient-recognized benefits and clinician-recognized benefits of MRCS.

Conclusions:

  • MRCS should not be framed as lacking anticipated medical benefit.
  • Counselling for MRCS must address structural vulnerabilities and recognize patient-valued benefits.
  • Further discussion is needed to reconcile clinical and patient perspectives on MRCS to ensure access for those with a need.