Critical Incident Analysis In Social Work

Critical incident analysis: informed consent and the use of vaginal examinations during labour

This article is a reflection on a critical incident that occurred during a student placement. It outlines the facts of the incident and analyses the implications of the actions taken.

Midwives magazine: August 2003

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Introduction

Reflection is beneficial to all practitioners, as it allows them to focus on their skills and feelings (Woods, 1998). Varying types of practice can be identified and analysed, which should ultimately, help each of us define our roles within practice and therefore direct us toward becoming highly skilled, competent midwives. This paper reflects on and analyses a critical incident…show more content…
Ms Jones was a competent adult capable of receiving information and making adecision, which has been identified as a requirement for consent.

Furthermore, Changing Childbirth has identified the receiving of information as being a patient's right (DH, 1993). However, it has been argued that midwives feel that the provision of too much information during labour can lead to irrational fear and, therefore, illogical decision-making (Spindel and Suarez, 1995). This can be further influenced by the pain and anxiety experienced during labour (Judge, 1997). This viewpoint challenges the idea that the mother is competent enough to make adecision and, therefore, can give informed choice.

However, prior to the vaginal examinations performed by the midwife in charge, Ms Jones appeared to be in control and coping well with her labour. In light of this argument, it could be suggested that the practice of good antenatal care could eliminate this problem. The provision of information at the appropriate time ensures that women are capable of making informed choices (Rodgers,…show more content…
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