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Re: Informed consentFrom: ainsron (ainsron@sbcglobal.net)Mon Jun 5 09:39:46 2006
The reason we are having this quandary about the need for signed informed consent is not because we haven't been discussing pregnancy and delivery with our patients, it's because we haven't always documented the discussions. What JCAHO is now requiring is that Medical Staffs identify which procedures performed in the hospital require informed consent and that physicians obtain a procedure specific or physician specific consent form documenting the discussion. That process cannot be delegated, it needs to be signed by both the patient and the physician (or CNM) and witnessed. It's pretty much a no brainer that procedures done in the OR and other "complex" medical procedures need informed consent. However, how does spontaneous vaginal delivery fall into the mix? Can we just say that it is covered by the general consent for hospital care? Is it only "complex" if vacuum or forceps are applied, or if epidural or intrathecal narcotics are used? No one knows at this time. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Gail Graham Sent: Monday, June 05, 2006 5:46 AM To: Multiple recipients of list OB-GYN-L Subject: Informed consent Having a running battle at work about informed consent. I don't think when a woman is in labour is the time to be getting consent unless an emergency arises. I think it should be discussed in the antenatal period. With separate midwives working on the labour ward and in the community there is a fight brewing. I think it's their job to discuss labour plans at 36 weeks or as and when the subject arises. Joe P, what is the legal definition of informed consent? What happens over there? Gail
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