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Refusal of caesarean section — DRCOG MCQ

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HardEthics, Communication and ConsentRefusal of caesarean sectionDRCOG

A woman in established labour has a pathological CTG and refuses emergency caesarean birth after demonstrating capacity and understanding the fetal risks. What is the most appropriate management?

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Correct answer: B — Respect refusal and continue supportive discussion

A capacitous adult may refuse caesarean birth even where fetal risk is substantial. Continue supportive communication, offer senior input and document the discussion, but neither a partner nor clinicians can override her informed refusal.

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