{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T03:31:34Z","timestamp":1778902294931,"version":"3.51.4"},"reference-count":16,"publisher":"BMJ","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Fam Plann Reprod Health Care"],"accepted":{"date-parts":[[2009,2,17]]},"published-print":{"date-parts":[[2009,7]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To analyse the completeness of written consent for laparoscopic tubal occlusion and to consider the medico-legal implications of incomplete written consent.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A retrospective review was undertaken of the medical records of all women who had laparoscopic tubal occlusion in 2006 in a district general hospital to elicit details of risks of the procedure as recorded on the consent form. The extent of documentation of risks and complications that were cited in the guidelines was analysed. In addition, the grade of doctor and the timing of obtaining written consent were studied.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 267 women underwent laparoscopic tubal occlusion and 214 (80.1%) case notes were reviewed in the present study. The findings demonstrate wide variation in the description of risks by doctors of different grades. The majority of written consents (65.9%) were obtained on the day of surgery. In most cases (75.2%) trainees were responsible for obtaining written consent.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Although the written consent form is a legally effective document, the process of documentation is inconsistent and this may leave the senior gynaecologist in a vulnerable position.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1783\/147118909788707823","type":"journal-article","created":{"date-parts":[[2009,7,4]],"date-time":"2009-07-04T15:20:18Z","timestamp":1246720818000},"page":"177-179","source":"Crossref","is-referenced-by-count":2,"title":["Written consent for laparoscopic tubal occlusion and medico-legal implications"],"prefix":"10.1136","volume":"35","author":[{"given":"Rasiah","family":"Bharathan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Rawesh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hasib","family":"Ahmed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2009,7,1]]},"reference":[{"key":"ref_1","article-title":"Consent: Patients and Doctors Making Decisions Together","author":"(GMC, General Medical Council","year":"2008","unstructured":"General Medical Council (GMC). Consent: Patients and Doctors Making Decisions Together. June 2008. http:\/\/www.gmc-uk.org\/guidance\/ethical_guidance\/consent_guidance\/index.asp [Accessed 14 January 2009]."},{"key":"ref_2","author":"[14 January 2009].","year":"2008","unstructured":"British Medical Association (BMA). Consent Tool Kit. July 2008. http:\/\/www.bma.org.uk\/images\/ConsentToolKit2008_tcm41175551.pdf [Accessed 14 January 2009]."},{"key":"ref_3","article-title":"Reference Guide to Consent for Examination or Treatment","author":"Department of Health","year":"2001","unstructured":"Department of Health. Reference Guide to Consent for Examination or Treatment. London, UK: Department of Health, April 2001."},{"key":"ref_4","article-title":"The NHS Plan: A Plan for Investment, A Plan for Reform","author":"[14 January 2009].","year":"4818","unstructured":"Department of Health. The NHS Plan: A Plan for Investment, A Plan for Reform. (Command Paper Cm 4818-I). 2000. http:\/\/www.nhs.uk\/nationalplan\/nhsplan.htm [Accessed 14 January 2009]."},{"key":"ref_5","article-title":"Good Practice in Consent: Achieving the NHS Plan Commitment to Patient-Centred Consent Practice (Health Service Circular HSC","author":"circulars\/Healthservicecirculars\/DH_4003736 [14 January 2009].","year":"2001","unstructured":"Department of Health. Good Practice in Consent: Achieving the NHS Plan Commitment to Patient-Centred Consent Practice (Health Service Circular HSC 2001\/023). 2001. http:\/\/www.dh.gov.uk\/en\/Publicationsandstatistics\/Lettersand circulars\/Healthservicecirculars\/DH_4003736 [Accessed 14 January 2009]."},{"key":"ref_6","article-title":"National Health Service Litigation Authority (NHSLA). NHSLA Factsheet 3: Information on Claims","author":"[14 January 2009].","year":"2008","unstructured":"National Health Service Litigation Authority (NHSLA). NHSLA Factsheet 3: Information on Claims. November 2008. http:\/\/www.nhsla.com\/home.htm [Accessed 14 January 2009]."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1266","DOI":"10.1097\/01.AOG.0000241096.85499.a8","article-title":"Patient safety in obstetrics and gynecology: an agenda for the future","volume":"108","author":"Pearlman, MD","year":"2006","unstructured":"Pearlman MD. Patient safety in obstetrics and gynecology: an agenda for the future. Obstet Gynecol 2006; 108: 1266\u20131271.","journal-title":"Obstet Gynecol"},{"key":"ref_8","first-page":"1031","article-title":"Cause and effect analysis of closed claims in obstetrics and gynecology","volume":"1","author":"White, A.A.; Pichert, J.W.; Bledsoe, S.H.; Irwin, C.; Entman, S.S.","year":"2005","unstructured":"White AA, Pichert JW, Bledsoe SH, Irwin C, Entman SS. Cause and effect analysis of closed claims in obstetrics and gynecology. Obstet Gynecol 2005; 105(5 Pt 1): 1031\u20131038.","journal-title":"Obstet Gynecol"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1016\/j.curobgyn.2006.06.003","article-title":"Medico-legal problems in gynaecology","volume":"16","author":"Argent, V.P.","year":"2006","unstructured":"Argent VP. Medico-legal problems in gynaecology. Curr Obstet Gynaecol 2006; 16: 289\u2013294.","journal-title":"Curr Obstet Gynaecol"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1258\/002221503322112950","article-title":"Consent process in common nose and throat procedures","volume":"117","author":"Chadha, N.K.; Pratap, R.; Narula, A.","year":"2003","unstructured":"Chadha NK, Pratap R, Narula A. Consent process in common nose and throat procedures. J Laryngol Otol 2003; 117: 536\u2013539.","journal-title":"J Laryngol Otol"},{"issue":"953","key":"ref_11","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1136\/pgmj.2004.024760","article-title":"Informed consent in renal transplantation","volume":"81","author":"Edwards, A.G.; Weale, A.R.; Morgan, J.D.","year":"2005","unstructured":"Edwards AG, Weale AR, Morgan JD. Informed consent in renal transplantation. Postgrad Med J 2005; 81(953): 188\u2013190.","journal-title":"Postgrad Med J"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1308\/003588406X114857","article-title":"Variation in consenting practice for laparoscopic cholecystectomy","volume":"88","author":"Chen, A.M.; Leff, D.R.; Simpson, J.; Chadwick, S.J.D.; McDonald, P.J.","year":"2006","unstructured":"Chen AM, Leff DR, Simpson J, Chadwick SJD, McDonald PJ. Variation in consenting practice for laparoscopic cholecystectomy. Ann R Coll Surg Engl 2006; 88: 482\u2013485.","journal-title":"Ann R Coll Surg Engl"},{"key":"ref_13","article-title":"Laparoscopic Tubal Occlusion: Consent Advice 3","author":"of Obstetricians, Royal College; Gynaecologists","year":"2004","unstructured":"Royal College of Obstetricians and Gynaecologists. Laparoscopic Tubal Occlusion: Consent Advice 3. 2004. http:\/\/www.rcog.org.uk\/files\/rcog-corp\/uploaded-files\/ Consent3Laparoscopictubal2004.pdf [Accessed 14 January 2009]."},{"key":"ref_14","article-title":"Obstetricians and Gynaecologists (RCOG). Sterilisation for Women and Men: What You Need to Know","author":"of, Royal College","unstructured":"Royal College of Obstetricians and Gynaecologists (RCOG). Sterilisation for Women and Men: What You Need to Know. http:\/\/www.rcog.org.uk\/womens-health\/clinical-guidance\/sterilisation-women-and-men-what-you-need-know [Accessed 14 January 2009]."},{"key":"ref_15","article-title":"Health and Clinical Excellence (NICE). Long-acting Reversible Contraception","author":"[14 January 2009].","year":"2005","unstructured":"National Institute for Health and Clinical Excellence (NICE). Long-acting Reversible Contraception. October 2005. http:\/\/guidance.nice.org.uk\/CG30 [Accessed 14 January 2009]."},{"key":"ref_16","first-page":"978","article-title":"Picking Up the Pieces: A Survival Guide for Victims of Childhood Sexual Abuse. Graham Wilmer, Eve Wilmer, Aidan Hughes, Rory Wilmer","author":"-","year":"2008","unstructured":"Picking Up the Pieces: A Survival Guide for Victims of Childhood Sexual Abuse. Graham Wilmer, Eve Wilmer, Aidan Hughes, Rory Wilmer. Wallasey, UK: The Lantern Project, 2008. ISBN-13: 978-0-9558750-0-7. Price: \u00a38.50. Pages: 112 (paperback)"}],"container-title":["Journal of Family Planning and Reproductive Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1783\/147118909788707823","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T17:42:30Z","timestamp":1757094150000},"score":1,"resource":{"primary":{"URL":"https:\/\/jfprhc.bmj.com\/lookup\/doi\/10.1783\/147118909788707823"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,7]]},"references-count":16,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2009,7,1]]},"published-print":{"date-parts":[[2009,7]]}},"alternative-id":["10.1783\/147118909788707823"],"URL":"https:\/\/doi.org\/10.1783\/147118909788707823","relation":{},"ISSN":["1471-1893","2045-2098"],"issn-type":[{"value":"1471-1893","type":"print"},{"value":"2045-2098","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,7]]}}}