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Informed Consent in Pregnancy

By Robin Elise Weiss, LCCE, About.com

Informed consent is something that many of us do not really think about or consider important. Unfortunately a lot of people still put more time into considering which video camera they should buy than what type of medical care they receive, whom they receive it from, and where they receive that care.

You will sign papers at almost any medical care office, hospital, birth center stating you understand the risks of procedures, medications, etc. When you do this you are saying that you have full understanding of whatever that procedure or medication is, including the risks.

I am happy to say that many women are taking the initiative to explore their options and are finding that they are very pleased when they control their health care. Gone are the days when doctors, nurses, and hospitals are omnipotent. We are finding out that as managed care takes over, we must do something to stand up for our rights as health care consumers.

So what is informed consent and how can you apply these theories to pregnancy and birth? Informed consent means that you have obtained all the information necessary to make informed medical decision about your care. This applies to tests, procedures, medications, etc.

When a test, procedure, medication, or anything is proposed, remember to get the following information before making a decision:

  • What is the reason for the procedure, test, medication?
  • What is the process? How is it done, how does it work?
  • What if it doesn't work?
  • What are the benefits?
  • What are the risks?
  • What are the alternatives (including waiting or doing nothing)?

You should also always take time to make your decision alone, free of threat, or coercion. However, if there is a state of emergency your care provider will also let you know this and complete informed consent may not be given.

Informed consent extends beyond the above mentioned things to choosing a care provider as well. So, ensure a good partnership with your care providers by interviewing a head of time, asking appropriate questions, and participating in your health care plan decision making processes.

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