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Patient Perceptions of Informed Consent for Operative Vaginal Birth: A Qualitative Analysis.

Lauren Diskin1, Paul Burcher1,2,3, Diane Meisles1

  • 1WellSpan York Hospital, York, Pennsylvania, USA.

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|September 25, 2025
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Summary
This summary is machine-generated.

Patients undergoing operative vaginal birth (OVB) often find informed consent challenging during labor but are satisfied with their experience. Improving communication during urgent OVB situations is crucial for better consent quality.

Keywords:
birth experienceinformed consentoperative vaginal birth

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Area of Science:

  • Obstetrics and Gynecology
  • Patient Safety
  • Informed Consent Research

Background:

  • Operative vaginal birth (OVB) is a critical intervention with inherent risks and benefits.
  • Informed consent is a key component of patient involvement in OVB decisions.
  • The adequacy of informed consent for OVB and its impact on patient experience remain unclear.

Purpose of the Study:

  • To explore patient perceptions of the informed consent process for OVB.
  • To assess the influence of pre-procedure communication on assisted birth experiences.
  • To gather patient suggestions for enhancing the OVB informed consent process.

Main Methods:

  • Conducted semi-structured interviews with 20 patients who underwent OVB.
  • Analyzed interview transcripts using consensus coding by three independent investigators.
  • Identified emergent themes related to patient perceptions of consent and birth experience.

Main Results:

  • Patients reported difficulty with informed consent during the second stage of labor.
  • No perceived loss of patient agency was reported.
  • Limited consent discussions were accepted due to preference for OVB over cesarean delivery.

Conclusions:

  • Patients reported satisfaction with their OVB experience despite limitations in informed consent.
  • Patients may be accepting a substandard consent process, highlighting a need for improved information sharing.
  • Patient satisfaction does not equate to adequate informed consent; enhanced communication during urgent OVB is recommended.