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Table 2 Health care workers’ purpose of informed consent and what should be discussed

From: Health workers’ perspectives on informed consent for caesarean section in Southern Malawi

Purposes of informed consent (from frequent to less frequent)

Legal protection of health care worker

Patient education, which:

 Reduces complications postoperatively

 Prepares psychologically and reduces anxiety

 Benefits subsequent pregnancies

Respecting autonomy

Respecting human/patient rights

Improving woman—health care worker relationship

Topics to discuss (from frequent to less frequent)

Reason for caesarean section

Complications of caesarean section

 Infection

 Haemorrhage/haemorrhagic shock

 Extended recovery time

 Injury bladder/ureter/bowel

 Maternal death

 Leaving instruments in abdomen

 Hysterectomy

 Feeling pain during surgery

Procedure

 Use of anaesthetics

 Use of blood products

Limited number of children due to a maximum of three CS

Need to give birth in hospital in subsequent pregnancies