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In other words... it's biased. Here's what I mean, lets take one of the most common interventions in Maternity Care. Induction. You could probably do your own poll and find that in your immediate circle of friends and family, the majority have had, are having or will have their labor induced for various different reasons. I won't get into when an induction is medically appropriate or when it is just elective. I just want to know how many of your friends and family know or knew all of the risks and benefits of an induction. My guess is probably few to none.


Most medical providers will inform their patients of all of the benefits of an induction and the risks of NOT having it done. On the flip side, most alternative providers will inform their patients of all of the benefits of waiting for labor to start on its own and the risks of NOT waiting. So whose right? Both of them will make great arguments about the benefits of their suggestions and the risks of not complying. However, both are biased. Informed Consent is only protective when ALL of the information is being presented without bias. How can a patient make an informed decision without having complete information of the risks and benefits of all the options out on the table?


We continually see fear of litigation on the forefront of every providers mind. A patient comes in with a problem and expects their provider to decide what course of action needs to be taken. By letting the provider choose what's best for us, it frees us of any responsibility. If things go wrong...we can and will sue them! No wonder our insurance premiums and medical malpractice costs are through the roof. Not to mention the position this puts our caregivers in. Many of them are forced to make decisions based more on litigation than the actual need of the patient. Including unnecessary testing.


So in the case of induction, what would Complete Informed Consent information contain?


• Benefits to both mother and baby of an induction • Risks to both mother and baby of an induction


• Benefits to both mother and baby of waiting for labor to start on its own


• Risks to both mother and baby of waiting for labor to start on its own


If the patient has weighed their options and chooses the option that is not offered by her provider, it is that providers legal and ethical obligation to refer that patient to a provider who can best meet those needs. What a great way to finally encourage collaborative practices between medical and alternative models of care, which we all can agree would save money, time and would be in the best interest of the patient.


Interestingly enough, the pharmaceuticals companies follow the Complete Informed Consent guideline to a “T”. In a 30 second commercial they will take 10 seconds to tell you how great their pill is and the other 20 seconds to tell you about how it might harm you or even kill you! If the consumer knows the risks and still chooses to take it, then it's much harder to be held liable. Though the drug companies sometimes get a bad rap, I gotta hand it to them for at least providing complete information about their product, allowing the consumer to have all of the pros and cons so that they can make an educated decision about whether the risks outweigh the benefits.


So while President Obama works out the health care reform and budget details, maybe he should take a look at something that is already in place, something simple...something FREE. We all have the right to be protected by Complete Informed Consent as do our caregivers and insurance companies. We all just need to ask for it.


Informed Consent is really a matter of protection... but only if it's complete.


THE RESOURCES LISTED IN THIS DIRECTORY ARE UNSCREENED AND SHOULD NOT BE VIEWED AS RECOMMENDATIONS OR ENDORSEMENTS, EITHER EXPRESS OR IMPLIED, BY THE AFA. 125


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