Posted by My OB said WHAT?!?.
Posted by My OB said WHAT?!?.
”…There Is A Line Of Authority To Override The Mother’s Wishes…”
From this article:
http://heraldextra.com/news/local/central/provo/article_3085b44b-cf7c-5029-ac0b-0b2bdb8baadf.html
This is what the hospital spokeswoman said to the reporter when asked about birth plans:
“Generally the mother agrees with the doctor. In the rare case that she doesn’t, there is a line of authority to override the mother’s wishes, but again, that’s unusual”- Hospital Spokesperson to reporter when asked about birth plans.
Intermountain Health Care is the company that owns both the hospital and the infamous Aspen Women’s Clinic where “The Sign” is posted.
http://heraldextra.com/news/local/central/provo/article_3085b44b-cf7c-5029-ac0b-0b2bdb8baadf.html
Yes, there are docs with judges on speed-dial for instant court-ordered cesareans and such, and horror stories abound on the abuses of that terrible power when the State claims the right to make decisions “in the interest of the fetus”. Which is why I wholeheartedly oppose any legislation to grant legal personhood status to a fetus, regardless of my feelings that unborn babies are not just “tissue”. Be very afraid of that legislation and what it means for women’s rights.
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Jespren Reply:
February 15th, 2010 at 5:33 pm (Quote)
I’d like to point out that the abortion debate (legal personhood to a ‘fetus’) isn’t the point that should be made when we are discussing a women’s right to birth choices. A women is a MOTHER, a legal guardian and biological parent of the child, born or unborn. She and the father of the child have parental authority to consent or refuse interventions, just like they do with a 2 day old, 2 year old, a 12 year old… Don’t support abortion just because you are afraid a baby’s rights will be used by a doctor to trump a woman’s rights, support a PARENT’s right to trump a doctor’s!
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Meg Reply:
February 15th, 2010 at 6:17 pm (Quote)
I wish that it could be assumed that the parents’ right to consent to or refuse treatments or interventions on behalf of their child, whether born or unborn, would be respected by the law, but more and more often, riding the coattails of legislation claimed to be protecting “rights of the child” (instead of the rights of the parents to act on behalf of the child) governments are staking a claim to that parental prerogative, and this is a dangerous precedent.
And I am not merely fearful that “a baby’s rights will be used by a doctor to trump a woman’s rights”; I am asserting that it happens more and more frequently in the here and now. It is not some potential to be feared, but a reality of growing scope.
As for abortion, I did not mention that, nor do I “support” it, but whether I did or not, is my opinion, and my outlook. I respect others’ rights to their own opinions about their own bodies and lives, and their right to make their own deeply personal decisions about themselves with or without my approval, so long as I can do the same.
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Okay, granted the first part of that paragraph is talking about birth plans in the context of “mother or baby at risk.” But I really don’t like the tone that hospital has! Overriding maternal choice?! Regardless of how a dr may feel about me or my unborn child during a labor, it is ultimately up to ME and my husband to decide what action to take, or to refuse!!
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Mother or baby at risk means different things to different people. They might well have felt it in my baby’s best interest to have a forced repeat section for any one of the following reasons: macrosomia (10lb, 12 oz), posterior position, post-dates (9 days post), or leaking amniotic fluid (just a little, but over a week).
Instead, I had a healthy baby at home with an amazing midwife.
Many of the same issues that might be considered safety issues, in the right hands, can be treated easily. For example, leaking waters meant absolutely nothing in the vagina (no checking for dilation until during active labor) and monitor for any signs of infection (any fever would have instantly bought me a trip to the hospital), and stay hydrated. At the hospital, that would have meant more intervention and led to c-section.
So, while there were risks, c-section and all of their procedures come with risks as well – and a woman needs to make informed choices about her own body.
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Alexia Reply:
February 15th, 2010 at 10:46 am (Quote)
that is EXACTLY what happened to me.
“leaking waters…..At the hospital, that would have meant more intervention and led to c-section.”
I just wish that I would have been more active in studying my body. & what it is capable of doing. urg. because of that I had 3 c-sections. I want a natural birth soooo bad.
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Comments like this doctor’s are why women are looking at alternatives for giving birth. I’m a former nurse, and I know that things can go wrong, even with no interference by MDs, but I also know things can go wrong BECAUSE of MDs. Women need to be honored for knowing their bodies.
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It seems that, anymore, that line of authority is very short – they don’t have to go very far to harass you into something. Ann, you’re totally right – so many of these problems are caused because the doctor just can’t leave you alone to ‘gestate in peace,’ and rarely is a patient just left alone if she refuses intervention (see the last post re: the patient refusing an induction). *sigh*
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You know, I am very pro-doctor, very ok with medical intervention at my birth, totally looking forward to a hospital birth this May, and even I think that sign is ridiculous. Seriously, does that doctor think this is 1950′s Soviet Russia? How does he have any patients?
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I would guess it’s fair to assume this doctor caters to the type of patient who does not want to ask questions, who gleefully announces to anyone in earshot that the sooner they get an epidural the better, how does 7 months gestation sound?
Who plans an elective c-section for their first birth because they “heard it keeps things tight down there.”
Or who wants an induction at 37 weeks because it “prevents all those icky stretch marks, and besides that way the relatives can book plane tickets in advance, so convenient!”
But I am just guessing, of course.
Then again, wanting an epidural ASAP is a birth plan, scheduling a primary elective c-section is also a birth plan, and so is scheduling an induction. Isn’t planning ahead your basic “responsible adult” behavior?
I could go on all day, I got a million reasons I would never darken the door of that office, but ultimately their honesty about their refusal to treat their patients with respect is… refreshing I guess. Better far than bait and switch.
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Rebecca Reply:
February 15th, 2010 at 9:05 am (Quote)
I have asked my doctor about doing things a certain way and gotten the response “I don’t think that’s the best idea, and here’s why.” I can’t imagine a doctor whose response would instead be “No. It’s my way or the highway” or “No, because I said so.” But you’re right, at least this doctor is clear and up front about being a dick, it makes him easier to avoid.
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Jena Reply:
February 15th, 2010 at 2:50 pm (Quote)
Kat: I got a million reasons I would never darken the door of that office, but ultimately their honesty about their refusal to treat their patients with respect is… refreshing I guess. Better far than bait and switch.
Amen to that. When it comes down to it, not everyone is like the women who tend to frequent this blog, no matter how much we’d like them to be. Whether it’s a matter of opportunity or personality, some women are really very content with letting a doctor manage everything and that’s why they’re in the OB’s office. Having seen the sign and read the article–while I CANNOT approve of the restrictiveness and the implied closed-minded sentiment–they do tell you up front so you can walk away and no one’s time is wasted.
As for the quote above extracted from the article… I don’t even know how to respond to it. It’s so… overbearing. “If we really decide that we think you’re an idiot, we can opt to ignore your wishes.” Oy.
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Danielle Saxon: The links are the same. I want the link to the original article, not the to the one about the sign.
Thanks, Danielle
you can go here to see a picture of the sign on the Unnecessarean website, scroll down for a bit:
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No wonder 95% of all mothers who birth there get epidurals. If I was confined to bed with continuous monitoring I might opt for one too. Yes, I know some places have telemetry.
The Line of authority waiting in the wings chills me to the bone. Worse even than the sign at the clinic. The sign basically tells women its our way or the highway. But that’s not the whole hospital. For them to blatently disregard patient rights is inhumane in the least.
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just wow… just another reason i’m really glad i’m planning a homebirth (assisted if possible, unassisted if necessary) when i finally get pregnant and carry to term again. i’m tired of feeling bullied and like i’m inconveniencing the doc though it’s their job to be there. i’m also tired of the lies, the pressure, and the fear they perpetuate.
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I support the Parent’s Right amendment in part for this reason (www.parentalrights.org).
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This, “sit down and shut up” mentality is rampant in Utah. (especially towards women, it’s so backward it’s not even funny) I feel very fortunate that I found my midwife after a very bad experience with one of intermountain’s other OB’s.
Judd’s notorious for being late and missing deliveries because he wanted to stay at a basketball game until half time and being a general, pompous, ass.
I’ve never heard of a physician’s right to chose, they must’ve pulled that one out of their butt.
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That is SO horrible and in violation of the laws that were put in place after Angela Carder was killed (her baby died as well) by a forced cesarean (against her wishes, against her family’s wishes and against even her attending physician’s wishes). It also violates:
* In re Fetus Brown, 689 N.E.2d 397, 400 (Ill. App. Ct. 1997) (overturning a court-ordered blood transfusion of a pregnant woman)
* In re Baby Boy Doe, 632 N.E.2d 326 (Ill. App. Ct. 1994) (holding that courts may not balance whatever rights a fetus may have against the rights of a competent woman, whose choice to refuse medical treatment as invasive as a cesarean section must be honored even if the choice may be harmful to the fetus).
* Stallman v. Youngquist, 531 N.E.2d 355, 359-61 (Ill. 1988) (refusing to recognize the tort of maternal prenatal negligence, holding that granting fetuses legal rights in this manner “would involve an unprecedented intrusion into the privacy and autonomy of the [state’s female] citizens”).
It should NOT be legal for a court to override a mother’s ability to say no. It’s a violation of the woman’s right to informed consent and her constitutional rights of privacy and bodily integrity.
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Heather P Reply:
February 15th, 2010 at 5:49 pm (Quote)
And yet it happened again just last year. A Florida mom of two toddlers was kidnapped by her hospital and held on forced bed rest. Her baby died after they did a court-ordered cesearean three days after she was kidnapped by the hospital.
http://www.msnbc.msn.com/id/35076853/ns/health-pregnancy/#storyContinued
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The thing that bothers me about this article is the fact that it reinforces the scope of negligence and violation society tolerates in regards to laboring women. A doctor seems to be able to get away with almost anything in the delivery room, and for some reason a blanket statement like “for the safety of mother and child” excuses everything.
It also reinforces my belief that a mom should utilize a doula. At least then you have someone who can give you an honest account of risk vs. benefit. You also have someone on your side, and just having a doula in the room improves medical staff behavior. I also think that if you don’t want to fight for the delivery you want…stay home and have a midwife. (if that’s an option for you)
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I live in Utah, where both Intermountain Healthcare and the Aspen Women’s clinic are located. Utah’s homebirth rates are roughly double the national average, and I think that these two places (especially the virtual monopoly that is Intermountain Healthcare,) contribute to that.
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Amanda Reply:
April 28th, 2010 at 10:05 am (Quote)
So do I. I got this from the herald article:
“The only policy the Intermountain hospitals have is that babies must be monitored during labor, but epidurals, C-sections and the like are not forced on patients.”
And here I thought that going to midwives at IMC was going to be a viable option to getting around stupid EFM. meh.
Next one is a homebirth. If things go strangely in the next prenatal visits . . . this one might be. =P IHC is only slightly less terrifying than Kaiser.
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I live in Utah, and don’t find it “so backward it’s not even funny.” Then again, I’ve lived all over the world, so what do I know.
I’ve had one baby at the IHC facility mentioned in the article with an OB. I’ve had another baby at a different IHC facility with a midwife. The two experiences could not have been more different.
As Melissa said, we have a large homebirth community, and considerable choice in providers, levels of intervention, and locations.
It’s absolutely no skin off of anyone’s nose if they want to go to Aspen/Judd. In fact, there are two other OB clinics in the very same building. Sure, the sign immediately tells me that I don’t want to be touched by that man ever, but hey, at least he’s up front. I’m happy delivering at another hospital more accustomed to natural child birth, and mother choice, with my beloved midwives.
It saddens me when these kinds of things occur in communities where women do not have a great deal of choice. In our community, it just makes it easier to choose your provider and experience.
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It’s sad that there are people and hospitals like this that take away from the many wonderful OBs and hospitals that actually do try to honor the parent’s wishes. I hate that this guy is what people think docs and hospitals are all about. Sure, there are some out there who are jerks, but like the previous post said, at least this guy is upfront about it. If I would’ve seen that sign in my docs office at my first checkup, I would have turned right back around and walked out. He’s not the only doc in town!
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I was just reading the original article, and came upon this: “a person in labor”
Okay, so for the record I think that being policially correct is a bunch of… well, you know, but since when do we have to use “person” to indicate someone in labor. Ahem! When was the last time a guy “went into labor”? Good grief!
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what.the. fuck??? please tell me this isn’t real.
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