WHAT DOES INFORMED CONSENT IN LABOR LOOK LIKE? // Weekend Rant
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- เผยแพร่เมื่อ 28 ก.ย. 2024
- WHAT DOES INFORMED CONSENT IN LABOR LOOK LIKE // WEEKEND RANT // Can you give consent in childbirth? Can your doctor use their best judgement and your IMPLIED CONSENT? This is the replay of the LIVE weekend rant that took place in our Facebook group.
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Hi so I am super grateful for you. I purchased a couple of your online Lamaz classes for this pregnancy. Its baby #3 for us and we are reying to do things better. Both of my previous deliveries were disappointing and heart shattering because they lead to c-sections that were not medically necessary. Because I wasn't informed of my choices I felt bullied into doing things, and I felt like I was assaulted. I also have a hx of sexual abuse, but since my first delivery I experience anxiety when dealing with medical professionals in all settings. Most ppl say well at least your babies were born healthy, but anytime feel like my choices were taken from me, or like I am being coerced and not given all the information, due to my abuse hx, it taints my birthing experience. I have a more holistic practitioner this time around. And I have explained my feelings to the team. I am glad you spoke on this subject. It made me feel like I wasn't weird for feeling the way I do.
I feel like a well and detailed birthing plan is what "Informed Consent/Refusal" looks like. Whether you have a doctor or midwife or giving birth at a birthing center, hospital or at home. A birthing plan can be as detailed or vague as you want it to be. But for example the cervix exam...I have in my birthing plan that I want minimal exams and if I am sleeping or somehow can't answer then that decision goes to my husband (who is my birth coach). Btw, we're 8mo prego and we're giving birth at a birthing center using the Bradley Method. But I know for a fact (with my previous children), if you tell your doctor you want a birthing plan to be discussed before you go into labor, then they are being neglegent in their duties if they refuse to hear you out. Go through your birthing plan with your provider every appointment until you're comfortable and synced with your provider on how you're treated. Educating yourself is the key to making all the "Informed Consent/Refusal" you need.
@@the_birth_nurse you've been apart of my education and support (you just didn't know it! Lol) So I thank you!
Making sure minimal examinations is on the birth plan is a great idea! Definitely going to try and do that.
I feel like I was forced into a lot of things during my pregnancy/labor/delivery. I feel like I didn’t have a voice.
I could have gave informed consent during my labor but wasn't even given the opportunity to do so. Rather than asking in any way the doctor just said "you need an episiotomy" & proceeded to numb me so he could preform the procedure.
Ladies, check out Evidence Based Birth articles and consider hiring a doula to advocate for you if you plan to birth in a hospital!!! The "Cascade of Interventions" is what our friend here is referring to-- do your research!!!!!!!
When I had my first back surgery, there was a detailed contract made up by the hospital, it entailed not only the risks and statics of those risks based on my history and hospital history but also what would be done to me in normal circumstances and if there are complications. Those are contracts that women should demand from their health care provider at the first prenatal appointment. Women should also have a detailed medical directive in regards to their pregnancy and birth, which should be witnessed by a notary and/or lawyer, their whole medical team and hospital should be given a copy of the medical directive. In this day and age women should ask to talk to the hospital's social worker to go over contracts and making medical directive, when having a baby to avoid assault from medical care providers.
Spot. On. 👏
Thank you for sharing your experience. I’m 30 weeks and just got my paperwork to sign but the overall consent form makes me really uncomfortable because I don’t want them to perform a membrane sweep or episiotomy in the moment without getting my consent before doing it in the moment.
I would have been sooooooo pissed if something was preformed like a membrane strip without my consent. My question is, is there anything you can do legally if they do that or does that overall consent form protect the hospital from being sued if a doctor/nurse does that without consent?
You need to discuss the situation with a lawyer.
@@i.r7831 I was afraid you would say that XD
@@the_birth_nurse I wonder if she could make a case of mental and emotional harm.
:O a cervical check and they strip your membrane without asking?? I mean I would want them to strip my membrane but the minute they do something without asking me (assuming it's not life and death and there's no time to ask) then my trust would automatically be lost and I'd no longer feel comfortable.
I dont want continuous fetal monitoring so I can walk around the hospital but apparently they said its standard and they dont have any cordless options. Can I refuse and tell them I rather be hooked up every 15 to 30mins instead? Also I am trying for a vbac not sure if that matters.
Yes. It's called intermittent monitoring.
yeah I don't want continuous either, when I'm in pain the last thing I want is something touching me. I will rip it off. You can definitely refuse continuous, I know I am. I know what I'm like when I'm in pain, and something especially touching and being wrapped around my stomach is not good. I can handle something on my wrist or my head, but anything on my mid section is a big no no for me.
Sadly, I’ve been working with midwives and am not impressed. I’ve asked about whether I can give informed refusal for the vitamin k shot at the hospital (I’m on Long Island) and was told it was state mandated and if I refused they would have to call Child Protective Services...say what? Sounded threatening. Any advice? Thanks girl, for sharing your thoughts.
They can most likely technically call but the research shows there is no need for it if the birth isn't classified as "traumatic" like hanging out an extended amount of time in crowntown or the use of forceps or vacuum-- there is a list.
That's the only one I'm getting after birth for my baby to be on the safe side because the risks for baby leave you open for months... They also offer the oral one, but seriously it's your kid. Do what you want and don't apologize. 💜
Yea all these bad things mentioned and more is my previous midwife for my first child. Ended up in ER. including assault. And I mean assault. For clarification for any, how about writhing in agony and pain begging the midwife to stop what she was doing please stop over and over. And she didn't finished what she was doing and left the room. Not even the only issue. Makes me MAD. I want my money back. I want to take legal action. I need help.
Yeah, a vaginal exam and then not asking about stripping the membranes is not okay! I feel like doctors kind of just lean towards doing what they think is best without all of them also feeling like they need to have a full conversation explaining it first. Having a conversation about it while the patients legs are spread open and they're already basically in the middle of it isn't fair either. I felt similarly when a doctor asked me to make some kind of decision during that situation and in my mind I really just wanted to get over that awkward situation! That didn't take into account when the best time would be to ask me. Thankfully, in contrast, I have had all wonderful, sensitive, informed consent experiences with midwives (both CPMs and CNMs).
TangerineBliss this has happened to me on a few of my pregnancies with my 6 babies - my nurse midwife who she said she was doing a gbs test, she did it, didn’t say anything and then went back in and checked my cervix with out any warning, Then she “stirred it up a bit” that’s what she said for stripping my membranes. . I felt violated and told my husband I would just rather give birth On my own! I was so mad and sad and felt just hurt Then I realized with my first 4 births birth I didn’t know I had options- you would think I might would have been informed but sadly no. first baby was 19, and all my babies are 2 years apart when I thought back- she always had broken my water always had checked my cervix from like 36 weeks and always had stripped my membranes with all of my babies when it was a convient weekend to give birth for her. - and I didn’t know I could say no until baby number 4/5 when I studied to become a doula- so with this babyand the last because I had some training and a lot of information I didn’t have before - number 6 I tired to make sure to be heard, my husband has came to all appts and this last one he walked out of the room with the kids so she could do a gbs test... she poked me and prodded and used a speculum that was long and hurt...I learned more from TH-cam and doulas on here about my birth options and my goal is to be a birth educator, lactation consultant and certified doula to help other mama feel heard, comfortable and just know their options. Sorry for the really long post- I’m 38 weeks preggo and some feelings can come flooding back and feel fresh!
@@briannconn thank you for sharing! I am so sorry your had this experience. It is so awesome that you now have the goal of helping other women through these things which are so critically important! I love Mandy's channel for all of the encouragement and good things it's given me to think about. I would love to have you subscribe to my channel if you're looking for more encouraging mama videos! I will be sharing my birth stories and miscarriage stories very soon. There is so much power in women opening up with each other about these things, thank you for your courage to tell others about your experiences. ❤️
@@briannconn I'm so sorry that happened to you. As I type, I'm waiting to be screened for gbs and just before I read your comment I had this thought in the midst of listening to this video and skimming the comments. I will be sure to speak with the nurse and have her chart that I do not want a cervical exam or swept membranes. So glad for all of your pateints that will recieve competent and compassionate care ❤
Thank you for doing this Mandy! My membranes were stripped during an exam. I had to ask why she had done that and what it meant. How sad! We should all be informed before decisions are made.
Even during my 37 week induction, methods weren’t explained to me unless I asked. I was admitted at 36 weeks with what I felt was the only option. I wish they had better explained informed refusal throughout the process.
It is so important that providers explain everything before they move forward. This is a powerful rant I wish I had heard about 8 weeks ago. If you go into labor without keeping these things in mind, it’s hard not to feel victimized as providers do what they deem necessary. I became so anxious because the emergency C-section wasn’t explained that nurses had to answer my questions as I was being (quickly!) prepped for the OR.
Anyway, this video is awesome and empowering! Keep sparking these conversations Mandy!
Providers are also human, so just because they deem it necessary, doesn't mean it is actually necessary and doesn't mean it's a good decision to do.
“Submit” implies a power dynamic and that’s why it feels uncomfortable to use it. You’re submitting to someone else’s will when you “agree” to an intervention that you don’t want and maybe even feel the intervention is unnecessary.
Love your rants! Keep sharing them!! People need to understand their rights in labour, I think a lot aren't sure of them...
Thank you for speaking the truth bravely, Mandy!
How do we know if there is an actual "danger " or problem or if the Dr is just doing something out of fear or preference? Cause I have heard the whole heart rate dropping issue with a tolac and an OB not wanting to risk anything so just decides to say ok we need to do a c section. But i feel like heart rates drop and fluctuates during labor or can be misread due to the fetal doppler shifting.
Question them. always question your provider. If they can't give a good reason, it's of preference or convenience.
I cant stand when medical professionals tell a laboring woman you have to...you are not allowed to.... And its heartbreaking when the birth support person takes the side of the dr/nurse. They are there to support the person in labor and end up ganging up on them. Usually because they think the dr knows best and has no ulterior motives.
You are amazing
If it's an emergency, sure. I see no problem with implied consent. However if it's not urgent then they absolutely should inform you correctly
I'm glad here in NC they briefly explained everything before doing procedures I will always deliver here
@@the_birth_nurse thank you for responding❤❤
Personally....signing consent to treatment upon arrival at a hospital is NOT consenting to all and anything they want to do to you/feel you need.
I asked the nurse if I can do an alternative to the sweet drink they give to test for gestational diabetes. But I got a big fat NO they said that's the only way they do things.
There are always alternatives and different practices if this one isn't honoring your wishes!
@@the_birth_nurse I mean doing the test the way it was set up is really how it should be done (and that's how you're going to get the most accurate results), but they should offer an alternative for those that refuse because some type of info is better than none.
Mandy, hello! I'm a South Brazilian Psychotherapist and Birth Doula. I like to hear you. It's sad though to hear that in US is not different from BR. I'm so sorry. We are fighting for changes as Brazilian women and Doulas. Thank you for sharing not only this. My best regards to you!