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Table 3 Contradictory statements in interviews: need for intervention versus need for consent

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

Interview number

Need for intervention

Need for consent

7, RNM

"But we can weigh the benefits and the risks. Cause the woman will not deliver, we should operate on the patient."

"She has refused. And she has refused to sign the consent. You cannot force her."

9, student midwife

"Giving good healthcare despite what the patient thinks. Because we are the one who can see the danger which the woman can have. So, I think I'll leave the autonomy aside and then concentrate on the health of my patient"

"We can't just take the patient to the theatre when she says no."

11, student midwife

We are going to take the patient to theatre. We can't do otherwise

But we can't just take the patient to the theatre when she says no

12, student midwife

It is impossible to say no

You can't force