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Re: Informed consentFrom: Kim Elise Goldman (goldman@calweb.com)Tue Jun 6 13:16:04 2006
I'm a surgeon, in another area obviously from my previous posts. I give patients a copy of their consent form for any elective procedure at the consultation and/or preop appointment. I document that in the chart. Actual consent is signed on day of surgery. Obviously for emergencies the schedule is different. I have had two children. I have NEVER been asked to sign a consent form. Nor would I have signed a blanket consent for NSVD/episiotomy/forceps/ vacuum/c-sec if one had been presented to me. In essence that says, I give you permission to do anything you want to without further discussion with me. IF someone wanted to educate and inform a patient I would think a detailed discussion of risks, benefits and alternatives in childbirth held around 30-26 weeks and well documented in the chart would be better legal "protection" than a statement signed under potentially stressful circumstances on admission to L&D. Perhaps even a written document they could take home that discusses these issues and that they sign for having received? Kind of reminds me of the consents they used to get for BTL's where I did my training. Women in labor were signing consents for BTL to be completed the day after delivery. And a not insignificant percentage of them were back a few years (and a new partner) later attempting reversals. A laboring woman should not be signing any elective consent forms. Emergency forms, sure, elective forms no. Just my two cents from an educated patient's perspective. Kim On Jun 6, 2006, at 9:35 AM, Len2976@aol.com wrote:
> Glen--
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