and Janesh Gupta2
(1)
Fetal Medicine, Rainbow Hospitals, Hyderabad, Telangana, India
(2)
University of Birmingham Birmingham Women’s Hospital, Birmingham, UK
CG1
A 32-year-old is in labour for the last 8 h. She had a previous uneventful vaginal birth at term. She has just broken her waters and there is meconium staining of the liquor amnii. The CTG shows late decelerations. Per vaginam examination shows that the cervix is 6 cm dilated with presenting part at −3 station. You suggest an emergency caesarean section in view of fetal distress, but she declines the same and wants to continue trying for a vaginal birth as she believes she will be fine as it is her second delivery. What should you do?
A.
Contact social services for the interest of the unborn fetus who is at risk of harm.
B.
Inform her husband and get him to consent for the caesarean section.
C.
Respect her choice and continue monitoring and documenting the labour.
D.
Stop treating her as she is obviously determined to pursue her own wishes.
E.
Transfer her care to another consultant as she is not listening to you.
CG2
Ethics is the understanding of the nature of conflicts arising from duties and obligations. The four-principle approach provides a way of thinking about ethical issues/problems in a simple and accessible way that should cut across cultural differences. Which of the following is not included in these ‘four principles’?
A.
Beneficence
B.
Maleficence
C.
Obligation to avoid causing harm
D.
Justice
E.
Respect for autonomy
CG3
A clinical teacher plays all roles except:
A.
Assessor
B.
Examiner
C.
Facilitator
D.
Planner
