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Assisted vaginal birth consent — DRCOG MCQ

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HardLabourAssisted vaginal birth consentDRCOG

A 32-year-old woman is fully dilated with a low cephalic presentation and fetal compromise. The obstetrician recommends ventouse birth in theatre. She is frightened and asks what information is needed before agreeing. What would you advise?

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Correct answer: D — Explain indication, alternatives, risks and possibility of caesarean if unsuccessful

Valid consent requires a clear explanation of indication, benefits, material risks, alternatives and the plan if the procedure fails, even in urgent circumstances when feasible. Fetal compromise does not remove the need to involve the woman in decisions. Retrospective discussion is not consent. A partner cannot consent for a capacitous adult.

Reference: RCOG Consent Advice; NICE NG235