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Capacity in labour — DRCOG MCQ

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HardEthicsCapacity in labourDRCOG

During labour, a woman with capacity refuses a vaginal examination after an explanation of its purpose and alternatives. Fetal monitoring is reassuring. What is the most appropriate management?

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Correct answer: C — Respect refusal, document discussion and use acceptable alternatives

The best answer is “Respect refusal, document discussion and use acceptable alternatives”. A capacitous person may refuse an examination even when clinicians think it would be useful. The team should explore her concerns, offer information and acceptable alternatives, document the discussion and continue respectful maternity care. A partner cannot authorise an examination, and coercion or sedation without clinical justification is unacceptable.

Reference: GMC: Decision making and consent: https://www.gmc-uk.org/ethical-guidance/ethical-guidance-for-doctors/decision-making-and-consent