• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • 2MM Podcast
  • Write for us
  • Contact Us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan+
  • Wellness
  • Classicsâ„¢+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Career
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan+
  • Wellness
  • Classicsâ„¢+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Career
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Chronic Disease

New guidelines for intrapartum management of patients with mental disorders

bys25qthea
June 23, 2013
in Chronic Disease, Obstetrics, Psychiatry, Public Health
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

Image: PD

1. This research paper proposes a preventive six-step ethics algorithm to guide intrapartum management of patients with major mental disorders. 

2. Multiple attempts should be made to obtain active assent such that every attempt is made to avoid coerced clinical management, the final option in the algorithm. 

Evidence Rating Level: 2 (Good) 

Study Rundown: Because women in labor with major mental disorders may have impaired decision-making abilities, women in this population pose a unique challenge when decisions often need to be made quickly. This paper provides a systematic framework to guide physicians in a way that navigates the difficult balance between patient well being with autonomy.

No previous guidelines exist and authors suggest that providing such guidelines might reduce treatment bias, strengthen physician integrity and reduce liability since physicians can refer to use of a framework that is both clinically guided and ethically sound.

RELATED REPORTS

High-Dose Docosahexaenoic Acid Does Not Improve Behavioral Functioning in Preterm Infants at 5 Years of Age

2 Minute Medicine Rewind November 27, 2023

Statins may improve tolerability of antidepressant therapy

Click to read the study in the American Journal of Obstetrics & Gynecology

Relevant Reading: American College of Obstetricians and Gynecologists: Maternal decision making, ethics, and the law

In-Depth [clinical guideline]: This study proposes a six-step ethics algorithm for approaching intrapartum management of patients with major mental disorders:

1. Capacity: The patient’s capacity to consent should be evaluated.

2. Attempt to restore capacity: If impaired, attempts should be made to restore it through verbal prompts, appeals to her values and/or pharmacologic interventions provided there is time.

3. Substituted judgment: If previous attempts are unsuccessful, decisions need to be made by a surrogate and should be informed first by the patient’s preferences and second by the mother and infant’s best interests.

4. Determine if patient accepts treatment.
5. Last opportunity for active assent: If patient refuses treatment at step 4, a final attempt should be made to obtain patient assent through verbal and/or pharmacologic means. In the event that this fails, then the physician’s beneficience-related duty to the woman and her child overrides his or her need to respect patient autonomy, and coerced clinical management is the least worst option.

6. Coerced clinical management: to be used only after steps 1-5 fail.

Strengths of this framework include incorporation of literature on maternal-fetal medical ethics. Limitations include lack of evaluation of the use of this algorithm in a practical setting. Future studies might assess the use of this framework in relation to maternal and fetal outcomes, as well as maternal satisfaction with intrapartum care management.

By Denise Pong and Leah Hawkins, MD, MPH

More from this author: Oral glucose tolerance test preferred for pre-diabetes screening in PCOS, Vaginal misoprostol improves ease of IUD insertion, C-section surgical techniques yield equivalent outcomes

© 2013 2minutemedicine.com. All rights reserved. No works may be reproduced without written consent from 2minutemedicine.com. Disclaimer: We present factual information directly from peer reviewed medical journals. No post should be construed as medical advice and is not intended as such by the authors or by 2minutemedicine.com. PLEASE SEE A HEALTHCARE PROVIDER IN YOUR AREA IF YOU SEEK MEDICAL ADVICE OF ANY SORT. Content is produced in accordance with fair use copyrights solely and strictly for the purpose of teaching, news and criticism. No benefit, monetary or otherwise, is realized by any participants or the owner of this domain. 

Tags: healthmental disorderpregnancypsychiatry
Previous Post

The RAVE trial: Rituximab for ANCA-associated vasculitis [Classics Series]

Next Post

Parental smoking cessation intervention effective in pediatric practices

RelatedReports

Digital imaging detects sight-threatening retinopathy of prematurity
Pediatrics

High-Dose Docosahexaenoic Acid Does Not Improve Behavioral Functioning in Preterm Infants at 5 Years of Age

November 29, 2023
Patients with low back pain or pain at multiple sites at highest risk for chronic opioid use
Weekly Rewinds

2 Minute Medicine Rewind November 27, 2023

November 27, 2023
Quick Take: Effect of Pregabalin on Radiotherapy-Related Neuropathic Pain in Patients With Head and Neck Cancer: A Randomized Controlled Trial
Cardiology

Statins may improve tolerability of antidepressant therapy

November 17, 2023
#VisualAbstract: Esketamine augmentation therapy is superior to quetiapine for treatment-related depression
StudyGraphics

#VisualAbstract: Esketamine augmentation therapy is superior to quetiapine for treatment-related depression

November 16, 2023
Next Post
School programs successfully cut number of smokers

Parental smoking cessation intervention effective in pediatric practices

AAP policy statement addresses care of LGBTQ youth

AAP policy statement addresses care of LGBTQ youth

Immunotherapy shows efficacy for pediatric allergic asthma and rhinitis

2 Minute Medicine Rewind June 17- June 24

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Seriesâ„¢ textbook.

Subscription Options

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • The 2 Minute Medicine Podcast Episode 29
  • #VisualAbstract: Erdafitinib may improve clinical outcomes compared to chemotherapy in patients with advanced urothelial carcinoma
  • Wellness Check: Sleep
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classicsâ„¢
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Career
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
No Result
View All Result

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

Want more physician-written
medical news?

Join over 10 million yearly readers and numerous companies. For healthcare professionals
and the public.

Subscribe for free today!

Subscription options