JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 1.
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY
The Quality of Obtaining Informed Consent for Cesarean Section in Public Hospitals of Iran

JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 1.
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY
The Quality of Obtaining Informed Consent for Cesarean Section in Public Hospitals of Iran

Informed consent, Cesarean section, Patient rights

Introduction: About 50%-65% of births in Iran occur by Cesarean Section (CS). Informed
consent (IC) is one of the most important ethical, legal, and professional requirements of a
surgical procedure.
Objective: This study aimed to assess the quality of obtaining surgical IC from women
underwent CS in public hospitals of Iran.
Materials and Methods: In this analytical study with cross-sectional design, 300 postpartum
women who had CS referred to two public hospitals in Rasht, Iran were participated

through stratified random sampling method in 2016. Data were collected using a two-
part researcher-made questionnaire. Collected data were analyzed by using descriptive

statistics, Kruskal-Wallis test, Mann-Whitney U test, and Spearman’s correlation test.
Results: The mean age of participants was 29.84±5.9 years. The majority of them (45.3%) had
education lower than high school. The overall mean score for the quality of obtained IC was
62.23±23.38, out of 150 points. Regarding its dimensions, quality of acquiring IC form (20.21±7.12,
out of 40 points), provision of CS-related information (15.67±11.10, out of 45 points), voluntariness
(7.53±6.95, out of 25), and the physician-patient relationship (18.81±8.87, out of 40 points)
were perceived poor. Women’s educational level had a significant correlation with the IC quality
dimensions of voluntariness (P=0.0001) and physician-patient relationship (P=0.043). The number
of deliveries (P=0.008), live births (P=0.031), and stillbirth (P=0.0001) had a significant correlation
with acquiring the IC form. The voluntariness was significantly associated with the number of
live births (P=0.023) and stillbirth (P=0.001). The physician-patient relationship dimension was
significantly associated with the number of pregnancies (P=0.023) and abortions (P=0.0001). The
overall quality of obtained IC was significantly correlated with the women’ age (r=0.162, P= 0.005).
Conclusion: Most of women in Iran are not informed enough about the CS and its consequences.
Health care providers should pay more attention to the women’s characteristics when obtaining
IC for the CS. We recommend essential changes in the process of obtaining surgical IC for the CS
in public hospitals of Iran. Obtaining IC during pregnancy may reduce unnecessary CSs.

Shadi Sabetghadam , Sedighe Rezaie-Chamani , Zahra Amirkhanzadeh Barandouzi , Sedigheh Sedigh Mobarakabadi , Mona Rahna-vardi , Yalda Donyaei Mobarrez

January 2021, Volume 31, Number 1

peri irawan

pdf

english

text