Re: Informed Consent - was Re: vacuum refusal

From: ainsron@msn.com
Mon Oct 16 12:26:10 2000


I didn't say educate them in the classroom, you misunderstood. Their partners should educate them in the bedroom. Sign the consent for cesarean section, vacuum extraction, acknowledge the risk of STDs, etc. before they have sex, then we are all covered. The ultimate in human responsibility, "you play, you pay!"

>that's what sex-ed class or high school health is supposed to address.
>interestingly, despite the fact that corporate america uses sex to sell
>virtually everything - there is vast opposition to this sort of
>education in the classroom.
>
>just my opinion, i could be wrong.
>
>art
>
>At Mon, 16 Oct 2000, ainsron@msn.com wrote:
>>
>>Geez! Sounds like we really need to enforce starting the informed
>>consent process prior to conception. I have an idea, the prospective
>>fathers need to discuss the risks of pregnancy and childbirth before
>>they impregnate their women. That would save us all a lot of time and
>>effort. It would also give the lawyers a new target for law suits!
>>
>>>Absolutely. The best time is certainly before labor. But when, exactly? And which
>>>risks need to be mentioned? The risks everyone acknowledges to be real and
>>>substantial, or should it include the risks that are incredibly rare? And what about
>>>potential risks - those things that are suggested in some studies, but not fully
>>>explored and understood? And secondary risks - those things that may occur as a
>>>result of the cascade of intervention that may occur? And what about the potential
>>>benefits of not having the procedure? Should those be mentioned as well?
>>>
>>>It's an incredibly complex issue, and I'm not saying I have answers. I'd just be
>>>interested in seeing/doing the research that might lead to a better understanding and
>>>might make the informed consent process around this common obstetrical procedure more
>>>meaningful and uniform.
>>>
>>>--
>>>Cheri Van Hoover, CNM
>>>San Francisco, CA
>>>
>>--
>>Ronald E. Ainsworth, MD
>>
>--
>art fougner, md
>
>A series of 1000 cases begins with but a single anecdote.
>

--
Ronald E. Ainsworth, MD




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