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Re: Placenta percretaFrom: Dr. Ainsworth (ainsron@sbcglobal.net)Wed Jun 16 12:57:52 2004
We have them sign a consent form for labor and delivery, but how do you truly offer informed consent to a patient in labor? As far as I am concerned, I need to explain why I do each separate procedure - scalp electrode, IUPC, epidural, trial of vacuum, trial of forceps, etc, although they do not sign a separate consent form for each of those. I know of no way you can get true informed consent from a patient in labor, as you would from someone who comes in for a "straight-forward" surgical procedure. The main reason we send patient to prenatal classes is so they can be informed about what their options are in labor and basic risks and limitations of the procedures we do. However, having an informed patient and having informed consent are not one and the same. Who should be getting informed consent is the husband, prior to impregnating his wife because from that point forward, she is destined to deliver one way or the other and her preferences and demands cannot always be safely honored while the risks and benefits are difficult to determine.
>In a message dated 6/16/2004 6:48:41 AM Eastern Standard Time,
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