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[An educational video on breech delivery as a tool to enhance informed consent]
Céline Emonts1, Marie Denef2, Justine Tack2
1Service de Gynécologie-Obstétrique, CHU Liège, Belgique.
None:
Vaginal breech delivery is a specific obstetric situation in which informed consent is of major importance. This prospective study evaluates the impact of an educational video designed to inform patients about the methods, risks, and benefits of different delivery options. Fourteen pregnant women with a fetus in a breech presentation watched an explanatory video and then completed a questionnaire assessing their understanding, anxiety level, and delivery preference. The results suggest an overall improvement in understanding, a partial reduction in anxiety, and a change in initial opinion among one-third of participants. The video promoted self-reflection, supported decision-making autonomy, and alleviated the emotional burden associated with this complex decision. Patients from the medical field were more favorable towards cesarean section, suggesting an influence of professional representations. This educational video has proven effective in improving the transmission of information, supporting autonomous decision-making, and reducing, at least partially, the anxiety associated with breech delivery. Its integration into clinical practice could promote informed consent and support patients in an interactive care pathway that respects their needs.
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