Page 11 of 13 FirstFirst ... 910111213 LastLast
Results 101 to 110 of 124

Thread: Pregnant Women Warned: Consent to Surgical Birth or Else

  1. #101
    Banned
    Join Date
    Feb 2013
    Location
    Charleston, South Carolina
    Last Seen
    12-02-16 @ 01:15 PM
    Gender
    Lean
    Very Conservative
    Posts
    28,659

    Re: Pregnant Women Warned: Consent to Surgical Birth or Else

    Quote Originally Posted by Top Cat View Post
    "I'm not young enough to know everything"

    Heh. Seems appropriate.

  2. #102
    Global Moderator
    I'm a Jedi Master, Yo

    CaptainCourtesy's Avatar
    Join Date
    May 2006
    Last Seen
    Today @ 07:54 AM
    Gender
    Lean
    Undisclosed
    Posts
    152,759

    Re: Pregnant Women Warned: Consent to Surgical Birth or Else

    Quote Originally Posted by Summerwind View Post
    If what I type feels like spin and makes you dizzy, you may need to have your ears checked for buildup, because you're clearly balance impaired.
    Quote Originally Posted by US Conservative View Post
    Cerumen impaction is not my problem. You might have a different type of impaction.
    Moderator's Warning:
    Pregnant Women Warned: Consent to Surgical Birth or ElseBoth of you, stop.
    "Never fear. Him is here" - Captain Chaos (Dom DeLuise), Cannonball Run

    ====||:-D

    Quote Originally Posted by Wiseone View Post
    This is what I hate about politics the most, it turns people in snobbish egotistical self righteous dicks who allow their political beliefs, partisan attitudes, and 'us vs. them' mentality, to force them to deny reality.

    Quote Originally Posted by Navy Pride View Post
    You can't paint everone with the same brush.......It does not work tht way.


    Quote Originally Posted by Wessexman View Post
    See with you around Captain we don't even have to make arguments, as you already know everything .
    Quote Originally Posted by CriticalThought View Post
    Had you been born elsewhere or at a different time you may very well have chosen a different belief system.
    Quote Originally Posted by ernst barkmann View Post
    It a person has faith they dont need to convince another of it, and when a non believer is not interested in listening to the word of the lord, " you shake the dust from your sandels and move on"

  3. #103
    Outer space potato man

    Join Date
    Feb 2010
    Last Seen
    Yesterday @ 11:13 PM
    Gender
    Lean
    Undisclosed
    Posts
    51,830

    Re: Pregnant Women Warned: Consent to Surgical Birth or Else

    Quote Originally Posted by sangha View Post
    Makes sense, but there's an important difference here

    She wasn't demanding that the hospital provide a service that was either not normally offered to its' patients or was not medically or ethically justifiable

    She was asking that they *not* perform an (allegedly) unnecessary and unwanted surgical procedure

    And though it's not clear, it appears that the hospital was going to call DCFS if she didn't have a c-section - even if she went to another doctor or hospital
    What if the doctor had concluded a natural birth would kill her and the baby?
    He touched her over her bra and underpants, she says, and guided her hand to touch him over his underwear
    Quote Originally Posted by Lutherf View Post
    We’ll say what? Something like “nothing happened” ... Yeah, we might say something like that.

  4. #104
    Sage



    Join Date
    May 2013
    Last Seen
    Today @ 05:18 AM
    Gender
    Lean
    Progressive
    Posts
    12,277

    Re: Pregnant Women Warned: Consent to Surgical Birth or Else

    Quote Originally Posted by MaggieD View Post
    So, let me get this straight: this woman's doctors have recommended C-Section. Get new doctors. Hospital won't allow natural childbirth. Go to another hospital.

    "I want you to cut off my leg without anesthetic." Any doctor or hospital should be able to refuse that request.

    What's your problem with this? Hospitals aren't bound to allow what they believe is an unsafe procedure. Why do you think they should be forced into it?
    The problem I have with it is why they are hell bent on C-section. Vaginal birth after C-section is an option for most women. I would think a major issue would be why she needed the C-section in the first place.

    I am interested in knowing why medically they feel it necessary to refuse her.

    I have to wonder if there is an MD convenience or an insurance re-imbursement issue. If they are paid a flat rate for the birth, they may not be reimbursed separately if after 30 hours of labor she still needs a C-section.

    I had a C-section, I was told that it was very common to have VBAC and that was 20 years ago.

    Would like to hear the MD side. If their practice is far outside of the norm, it would be interesting to know why.

  5. #105
    Sage



    Join Date
    May 2013
    Last Seen
    Today @ 05:18 AM
    Gender
    Lean
    Progressive
    Posts
    12,277

    Re: Pregnant Women Warned: Consent to Surgical Birth or Else

    After doing a little reading, it looks like VBAC after up to 2 C-sections is clearly accepted. She would have been attempting after 3 C-sections.

    http://www.acog.org/~/media/ACOG%20T...805T0056102994



    I would think her other option would be simple. Show up at the hospital in labor and refuse to sign the consent for C-section.
    Last edited by year2late; 08-05-14 at 02:05 AM.

  6. #106
    Banned
    Join Date
    Nov 2013
    Location
    Between Athens and Jerusalem
    Last Seen
    05-18-16 @ 07:06 PM
    Gender
    Lean
    Conservative
    Posts
    33,522

    Re: Pregnant Women Warned: Consent to Surgical Birth or Else

    Quote Originally Posted by year2late View Post
    After doing a little reading, it looks like VBAC after up to 2 C-sections is clearly accepted. She would have been attempting after 3 C-sections.

    http://www.acog.org/~/media/ACOG%20T...805T0056102994


    I would think her other option would be simple. Show up at the hospital in labor and refuse to sign the consent for C-section.
    Already simply showing up at the hospital would increase morbidity and mortality for her child. Whats more important?

    Acog does good work-like recommending the ultrasound prior to abortion that planned parenthood requires, but cried about when a state required it.
    http://www.plannedparenthood.org/pla...-laws-policies
    Last edited by US Conservative; 08-05-14 at 02:29 AM.

  7. #107
    Sage



    Join Date
    May 2013
    Last Seen
    Today @ 05:18 AM
    Gender
    Lean
    Progressive
    Posts
    12,277

    Re: Pregnant Women Warned: Consent to Surgical Birth or Else

    Quote Originally Posted by US Conservative View Post
    Already simply showing up at the hospital would increase morbidity and mortality for her child. Whats more important?

    Acog does good work-like recommending the ultrasound prior to abortion that planned parenthood requires, but cried about when a state required it.
    Texas Laws and Policies :: Greater Texas
    First of all, can you show me that ACOG recommends ultrasound?
    ACOG Supports Oklahoma Court Decision Ruling Ultrasound Act Unconstitutional - ACOG

    None of these laws have anything to do with enhancing the health or safety of the patient, but merely establish bureaucratic barriers and add unnecessary emotional and financial stress to an already difficult decision. ACOG opposes any legislation that dictates medical practice and/or that interferes with the doctor-patient relationship. State legislators should not be determining the conversation between a woman and her doctor, regardless of the issue
    And can you give statistics showing that the mortality rate of the infant increases - I would think that if her uterus ruptures, that a crash C-section would be done and the infant would stand a good chance of being fine - the mother might be in substantially more danger.

    But whether or not to have a major surgical procedure - including risks of anesthesia and postoperative complications might be something a little less cut and dry - if you are the one under the knife.

  8. #108
    Guru
    Juanita's Avatar
    Join Date
    Jun 2013
    Location
    now? COLORADO
    Last Seen
    04-27-16 @ 03:50 AM
    Gender
    Lean
    Progressive
    Posts
    3,981

    Re: Pregnant Women Warned: Consent to Surgical Birth or Else

    Quote Originally Posted by sangha View Post
    Yeah, we really only have one side of the story here, and I imaging the hospital is constrained about stating the details due to privacy laws.

    It may be that there's something about the woman's condition that makes a natural childbirth entirely inappropriate. Therefore, reporting her to DCFS might be a reasonable thing to do.

    But we don't know enough to say


    Why should CPS be involved in this at all. What business is it of theirs?

  9. #109
    Banned
    Join Date
    Nov 2013
    Location
    Between Athens and Jerusalem
    Last Seen
    05-18-16 @ 07:06 PM
    Gender
    Lean
    Conservative
    Posts
    33,522

    Re: Pregnant Women Warned: Consent to Surgical Birth or Else

    Quote Originally Posted by year2late View Post
    First of all, can you show me that ACOG recommends ultrasound?
    ACOG Supports Oklahoma Court Decision Ruling Ultrasound Act Unconstitutional - ACOG



    And can you give statistics showing that the mortality rate of the infant increases - I would think that if her uterus ruptures, that a crash C-section would be done and the infant would stand a good chance of being fine - the mother might be in substantially more danger.

    But whether or not to have a major surgical procedure - including risks of anesthesia and postoperative complications might be something a little less cut and dry - if you are the one under the knife.
    I can show evidence, its current best practice as stated by acog. But you need to understand what you are reading-ACOG-in your link does NOT say they oppose u/s in abortive procedures-they say they oppose govt mandates for diagnosis (as do I). Because its already the standard of care, and because of its benefits they support the technique. The issue, is politicisation of terms like transvaginal (calling it rape, and disregarding its better sensitivity and lower pain for many patients). There are publications from acog and pubmed that I can't post here, but that recommend the same, as do other groups (ACOG is not the sole "authority" for the issue, family practice and radiology are prominent as well. I work internal medicine and we listen to ACOG and ACR.
    http://www.acog.org/~/media/Departme...709T0142491575
    National Guideline Clearinghouse | Ultrasonography in pregnancy.
    ACOG Practice Bulletin No. 101: Ultrasonograp... [Obstet Gynecol. 2009] - PubMed - NCBI
    http://www.acr.org/~/media/a79db56d3...8250a67a5a.pdf

    As for your second q, Im not here to teach you and this is not a superficial medical discussion, but I will hit the highlights anything that impacts maternal bleeding in significant quantities (hypovolemia/exsanguination) means the child has tops several minutes-the first thing compromised will be fetal/placental blood flow. We dont use the term "crash c-section", but an OB wont attempt to ligate or repair anything without at least a general, and possibly a vascular surgeon-these specialists are NOT a normal presence in the OB theater, and thats time the child wont have. OB's ARE trained in perimortem CS but thats not going to be done here.
    The first thing to remember is we aren't getting the entire story-we dont know this patients history or risk factors, we know what a media source says-this alone makes it highly unlikely we have the full picture. As I stated earlier in the thread this is a high risk procedure, and this woman has had 2 prior CS's-so the uterine scarring and surgical adhesions are more likely to lead to complications. The ACA did very little to address tort and has made high risk specialties MORE defensive. This is the result. The other issue is so many vbacs lead to failure to progress, leading to increase risks of fetal anoxia, erbs palsy, etc. When you say things like "the infant would stand a good chance of being fine" without the data what you are saying is you'd like this to be the case, and hope its true. Some reading, but your best bet would be to admit you dont know.
    Practice Guidelines: ACOG Updates Recommendations on Vaginal Birth After Previous Cesarean Delivery - American Family Physician
    Ob Gyns Issue Less Restrictive VBAC Guidelines - ACOG
    Vaginal Birth After Cesarean and Uterine Rupture Rates in Ca... : Obstetrics & Gynecology

  10. #110
    Banned
    Join Date
    Nov 2013
    Location
    Between Athens and Jerusalem
    Last Seen
    05-18-16 @ 07:06 PM
    Gender
    Lean
    Conservative
    Posts
    33,522

    Re: Pregnant Women Warned: Consent to Surgical Birth or Else

    Quote Originally Posted by Juanita View Post
    Why should CPS be involved in this at all. What business is it of theirs?
    The precise point he was making-is we dont know. Awesome reporting by that media outlet.

Page 11 of 13 FirstFirst ... 910111213 LastLast

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •