Cargando…

Maternity care providers’ perceptions of women’s autonomy and the law

BACKGROUND: Like all health care consumers, pregnant women have the right to make autonomous decisions about their medical care. However, this right has created confusion for a number of maternity care stakeholders, particularly in situations when a woman’s decision may lead to increased risk of har...

Descripción completa

Detalles Bibliográficos
Autores principales: Kruske, Sue, Young, Kate, Jenkinson, Bec, Catchlove, Ann
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3668159/
https://www.ncbi.nlm.nih.gov/pubmed/23557134
http://dx.doi.org/10.1186/1471-2393-13-84
_version_ 1782271580111372288
author Kruske, Sue
Young, Kate
Jenkinson, Bec
Catchlove, Ann
author_facet Kruske, Sue
Young, Kate
Jenkinson, Bec
Catchlove, Ann
author_sort Kruske, Sue
collection PubMed
description BACKGROUND: Like all health care consumers, pregnant women have the right to make autonomous decisions about their medical care. However, this right has created confusion for a number of maternity care stakeholders, particularly in situations when a woman’s decision may lead to increased risk of harm to the fetus. Little is known about care providers’ perceptions of this situation, or of their legal accountability for outcomes experienced in pregnancy and birth. This paper examined maternity care providers’ attitudes and beliefs towards women’s right to make autonomous decisions during pregnancy and birth, and the legal responsibility of professionals for maternal and fetal outcomes. METHODS: Attitudes and beliefs around women’s autonomy and health professionals’ legal accountability were measured in a sample of 336 midwives and doctors from both public and private health sectors in Queensland, Australia, using a questionnaire available online and in paper format. Student’s t-test was used to compare midwives’ and doctors’ responses. RESULTS: Both maternity care professionals demonstrated a poor understanding of their own legal accountability, and the rights of the woman and her fetus. Midwives and doctors believed the final decision should rest with the woman; however, each also believed that the needs of the woman may be overridden for the safety of the fetus. Doctors believed themselves to be ultimately legally accountable for outcomes experienced in pregnancy and birth, despite the legal position that all health care professionals are responsible only for adverse outcomes caused by their own negligent actions. Interprofessional differences were evident, with midwives and doctors significantly differing in their responses on five of the six items. CONCLUSIONS: Maternity care professionals inconsistently supported women’s right to autonomous decision making during pregnancy and birth. This finding is further complicated by care providers’ poor understanding of legal accountability for outcomes experienced in pregnancy and birth. The findings of this study support the need for guidelines on decision making in pregnancy and birth for maternity care professionals, and for recognition of interprofessional differences in beliefs around the rights of the woman, her fetus and health professionals in order to facilitate collaborative practice.
format Online
Article
Text
id pubmed-3668159
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-36681592013-06-01 Maternity care providers’ perceptions of women’s autonomy and the law Kruske, Sue Young, Kate Jenkinson, Bec Catchlove, Ann BMC Pregnancy Childbirth Research Article BACKGROUND: Like all health care consumers, pregnant women have the right to make autonomous decisions about their medical care. However, this right has created confusion for a number of maternity care stakeholders, particularly in situations when a woman’s decision may lead to increased risk of harm to the fetus. Little is known about care providers’ perceptions of this situation, or of their legal accountability for outcomes experienced in pregnancy and birth. This paper examined maternity care providers’ attitudes and beliefs towards women’s right to make autonomous decisions during pregnancy and birth, and the legal responsibility of professionals for maternal and fetal outcomes. METHODS: Attitudes and beliefs around women’s autonomy and health professionals’ legal accountability were measured in a sample of 336 midwives and doctors from both public and private health sectors in Queensland, Australia, using a questionnaire available online and in paper format. Student’s t-test was used to compare midwives’ and doctors’ responses. RESULTS: Both maternity care professionals demonstrated a poor understanding of their own legal accountability, and the rights of the woman and her fetus. Midwives and doctors believed the final decision should rest with the woman; however, each also believed that the needs of the woman may be overridden for the safety of the fetus. Doctors believed themselves to be ultimately legally accountable for outcomes experienced in pregnancy and birth, despite the legal position that all health care professionals are responsible only for adverse outcomes caused by their own negligent actions. Interprofessional differences were evident, with midwives and doctors significantly differing in their responses on five of the six items. CONCLUSIONS: Maternity care professionals inconsistently supported women’s right to autonomous decision making during pregnancy and birth. This finding is further complicated by care providers’ poor understanding of legal accountability for outcomes experienced in pregnancy and birth. The findings of this study support the need for guidelines on decision making in pregnancy and birth for maternity care professionals, and for recognition of interprofessional differences in beliefs around the rights of the woman, her fetus and health professionals in order to facilitate collaborative practice. BioMed Central 2013-04-04 /pmc/articles/PMC3668159/ /pubmed/23557134 http://dx.doi.org/10.1186/1471-2393-13-84 Text en Copyright © 2013 Kruske et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Kruske, Sue
Young, Kate
Jenkinson, Bec
Catchlove, Ann
Maternity care providers’ perceptions of women’s autonomy and the law
title Maternity care providers’ perceptions of women’s autonomy and the law
title_full Maternity care providers’ perceptions of women’s autonomy and the law
title_fullStr Maternity care providers’ perceptions of women’s autonomy and the law
title_full_unstemmed Maternity care providers’ perceptions of women’s autonomy and the law
title_short Maternity care providers’ perceptions of women’s autonomy and the law
title_sort maternity care providers’ perceptions of women’s autonomy and the law
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3668159/
https://www.ncbi.nlm.nih.gov/pubmed/23557134
http://dx.doi.org/10.1186/1471-2393-13-84
work_keys_str_mv AT kruskesue maternitycareprovidersperceptionsofwomensautonomyandthelaw
AT youngkate maternitycareprovidersperceptionsofwomensautonomyandthelaw
AT jenkinsonbec maternitycareprovidersperceptionsofwomensautonomyandthelaw
AT catchloveann maternitycareprovidersperceptionsofwomensautonomyandthelaw