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Fwd: informed consent with stripping membranesFrom: OBDocRick@aol.comMon Apr 29 19:54:02 1996
Regarding the need for an informed consent with stripping of membranes, I suppose that my practice is less formal with stripping membranes than with laparoscopy, colposcopy or amniocentesis, where I am attempting a specific procedure for understood results. Stripping membranes usually occurs during my exams after 38 weeks, when there is significant cervical change and an easy access to the cervical canal. Rarely will I call a patient in to the office specifically for this procedure, as other than antedoctally I have never seen RTC that prove its worth, and many times it fails. But, this was military training. Is it outside standard of care to perform this without premeditation, just because the opportunity arises? BTW, I do tell the patients what I am going to do/doing, but not with a formal counselling session. Rather I say something like "Your cervix has dilated and I'm going to strip your membranes to try and help speed things along" or something to that effect. Richard Chudacoff, MD --------------------- Forwarded message: --------------------- From: NURSBADE@MIZZOU1.missouri.edu (Val Bader, CNM) --------------------- To: OBDocRick@aol.com (dear sir) Date: 96-04-29 16:46:37 EDT i believe what women want is to have a say in what happens to their bodies. b eing inside or outside the curve is really not the issue; the real issue in my mind is who's driving this train? whether it is laparoscopic surgery or stripp ing membranes, THE WOMAN learns the risks and benefits and DECIDES after you gi ve her your recommendations... i welcome rebuttal...
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