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

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    Pregnant Women Warned: Consent to Surgical Birth or Else

    Jennifer Goodall was about to have her fourth child when the ordeal began. Having given birth to three previous children through cesarean section—a surgical procedure that allows a baby to be delivered through a woman's abdomen—the Cape Coral, Florida, mother wanted to try a natural delivery now. But in early July, Bayfront Health Port Charlotte—the hospital where Goodall had been planning on giving birth in about two weeks—told her it wasn't permitted. A letter from Bayfront's chief financial officer said if she attempted a "trial of labor," the facility would report her to the state's Department of Children and Family Services, seek a court order to perform the surgery, and do the procedure "with or without (her) consent" if she stepped foot in the hospital.

    snip

    None of this means that Goodall's choice was necessarily better. But it was reasonable. This wasn't some particularly risky, out-there thing that she wanted to do. In a 2010 statement, even the National Institutes of Health (NIH) stated that "when trial of labor and elective repeat cesarean delivery are medically equivalent options, a shared decision-making process should be adopted and, whenever possible, the woman’s preference should be honored."

    But federal District Judge John E. Steele disagreed. In denying Goodall's request, Steele wrote that she has no "right to compel a physician or medical facility to perform a medical procedure in the manner she wishes against their best medical judgment."
    Pregnant Women Warned: Consent to Surgical Birth or Else - Reason.com
    Last edited by Gina; 08-01-14 at 04:12 PM.

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

    Hmmm...interesting. I had 3 C-sections (no vaginal deliveries), and after #1 a VBAC wasn't even a suggestion.

    I think they should let her try the VBAC if she's hell bent on it. They should make her sign a waiver that says she won't sue in the event her uterus bursts or the baby comes out with problems, etc.

    If I wanted to be a doctor, I would never consider being an OB/GYN. Too much risk, which is which is why last I heard they carried the 2nd highest malpractice insurance costs.

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

    Yea... I've heard bad things about Florida hospitals in general where this kind of thing is concerned.

    I was born in one back in 1988, and, between the blatant bullying by the doctor, the casually abusive staff, and the unnecessary surgical intervention, they messed my mother up pretty bad, from what she's told me.

    They apparently called CPS on a friend of hers while she was pregnant as well.

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

    There's some else going on here that we're not party to. Why all the legal action when she can just switch hospitals in an instant? Heck, she can do home birth and hire a midwife. None of this makes sense, except well, it IS Florida.

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

    Quote Originally Posted by clownboy View Post
    There's some else going on here that we're not party to. Why all the legal action when she can just switch hospitals in an instant? Heck, she can do home birth and hire a midwife. None of this makes sense, except well, it IS Florida.
    That was a question I had as well. Are they threatening to call CPS even if she goes somewhere else?

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

    Quote Originally Posted by Gathomas88 View Post
    That was a question I had as well. Are they threatening to call CPS even if she goes somewhere else?
    That would seem to be the case

    From the OP
    A letter from Bayfront's chief financial officer said if she attempted a "trial of labor," the facility would report her to the state's Department of Children and Family Services, seek a court order to perform the surgery, and do the procedure "with or without (her) consent" if she stepped foot in the hospital.
    on edit: I read you post wrong. They are threatening her is she returned to the hospital; not if she went elsewhere

    on edit a 2nd time: Actually it depends on how you read the sentence. I could mean that that were going to report her if she tried to have a "trial of labor" elsewhere, and perform a C-section if she returned to that hospital
    Quote Originally Posted by matchlight View Post
    Justice Thomas' opinions consistently contain precise, detailed constitutional analyses.
    Quote Originally Posted by jaeger19 View Post
    the vast majority of folks that need healthcare are on Medicare.. both rich and poor..

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

    From the source:
    In a written statement Monday, Bayfront spokeswoman Marti Van Veen said the hospital isn't opposed to vaginal births after c-section unilaterally. "Each patient has unique circumstances, and we rely on the clinical judgment of the physicians who work with their patients to make sure the birth plan is safe and supports the best possible outcomes for both mother and baby," Van Veen said.
    I strongly suspect there are details not in this article.
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    Re: Pregnant Women Warned: Consent to Surgical Birth or Else

    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?
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    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?
    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
    Quote Originally Posted by matchlight View Post
    Justice Thomas' opinions consistently contain precise, detailed constitutional analyses.
    Quote Originally Posted by jaeger19 View Post
    the vast majority of folks that need healthcare are on Medicare.. both rich and poor..

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    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 justifiable or ethically justifiable

    She was asking that they *not* perform an (allegedly) unnecessary and unwanted surgical procedure
    That last is not so. The doctors there have said, in this case, it IS a necessary surgical procedure. And once again there is nothing preventing her from changing doctors, hospitals or even opting for home birth.

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