How should a midwife respond if a woman declines a recommended procedure?

Respect her decision, provide clear information about risks and alternatives, document the discussion, and continue to offer safe, supportive, and culturally respectful care. This aligns with NMBA Professional Standards for Midwives (2018) and the Code of Conduct, which emphasise woman-centered practice and professional respect.

• Provide clear, evidence-based Explain the risks, benefits, and alternatives in an understandable and culturally sensitive way. Ensure the woman has the opportunity to ask questions
• Respect autonomy and cultural Acknowledge her decision without judgment and recognise her legal and ethical right to decline interventions
• Maintain safety and Continue to monitor and provide safe care within scope, escalating concerns if the situation changes or becomes an emergency.
• Document Record the discussion, information provided, the woman’s decision, and any agreed plan for ongoing care.

This approach ensures care remains woman-centered, ethical, and legally accountable, while maintaining trust and collaboration between midwife and woman.