Informed consent Archives

Options when threatened with a “forced” cesarean

by Jen Kamel | Mar 2, 2012 | Hospital birth, Informed consent, Legal Issues, Planning your vbac, VBAC after multiple cesareans

I just received this email tonight and need ideas quick. This term mom seeking VBA2C is in the the Columbia area of South Carolina. Her OB was supportive until 37 weeks. Her cesarean is scheduled in two days on March 5, 2012. She was told that if she shows up in labor, she will be “forced” to have a cesarean. Does anyone know of a care provider in her area that would be willing to accept a new client this late in pregnancy? What other options does she have? Additionally, I’m looking for information on the legality of a hospital/OB “forcing” a c/s? What happens if she shows up at the current hospital and refuses to sign the c/s consent form? What exactly CAN they do??

Study finds that women choose the mode of delivery preferred by their doctor

by Jen Kamel | Feb 11, 2012 | Hospital birth, Informed consent, Planning your vbac

“When patients perceived that their doctor preferred a repeat cesarean, very few chose to undergo trial of labor, whereas the majority chose trial of labor if that was their doctor’s preference.” Additionally, 73% of the women admitted for a ERCS did not know the chances of a successful VBAC and 64% did not know the risk of uterine rupture. 54% of women choosing a TOLAC did not know the chances of a successful VBAC and 45% did not know the risk of rupture!

Portraying OBs as the bad guys?

by Jen Kamel | Apr 11, 2010 | Informed consent, VBAC

Many of the stories on this website point to the ob/gyns as the bad guys. While I believe there may be some doctors that use tactics and lies, it is overlooked that the doctors are just as misinformed and scared as the patients!

Another VBAC consult misinforms

by Jen Kamel | Mar 16, 2010 | An inside perspective, Informed consent, Planning your vbac, VBAC

What disappointed me, however, was the NIH VBAC conference panel’s surprise at the misinformation and bait & switch tactics to which many women are subjected. I think when you are a VBAC supportive practitioner, it may be hard to believe that your colleagues practice in a manner like I describe below.

Response to OB: Scare tactics vs. informed consent aka why I started this website

by Jen Kamel | Oct 19, 2009 | Hospital birth, Informed consent, Planning your vbac, VBAC

The unfortunate reality is that there is a huge segment of OBs who perform surgery under the guise of maternal/fetal health when in reality it is for their personal convenience. I have had the opportunity to hear that directly from OBs. Often the “healthy mom/healthy baby” reason is used in the midst of a repeat cesarean recommendation and I believe that is true in the birth story featured in Hospital VBAC turned CS due to constant scare tactics.

Interview with Dr. Fischbein: An Inside Look at Hospitals and VBAC Bans

by Jen Kamel | Sep 8, 2009 | An inside perspective, Evidence based medicine, Hospital birth, Informed consent, Legal Issues, Planning your vbac, Resources for unsupportive family members, VBAC, VBAC Bans

Q: Don’t hospitals ban VBAC because it is dangerous? A: They ban VBACs under the guise of patient safety. But patient safety is a euphemism for “we don’t have a good evidence-based reason to do it, other than we don’t want to get sued, it’s more expedient, and we make more money from c-sections—the hospital does, not necessarily the physician, but the hospital does—so we’re going to ban it because it’s easier for us, and we’re going to say it’s for patient safety because of the risk of rupturing the uterus.”

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