Good Sam--mandatory c-section class???
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FirstMate
My lil cowboy
Member since 10/10 7790 total posts
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Re: Good Sam--mandatory c-section class???
Posted by BaseballWidow
Posted by FirstMate
BUT the reality of labor is that so many things can go wrong at any time that chances of converting to a C Section are relatively high. I think the point of all of this is to educate you on what is going to be happening to you so that you don't lose your mind in a panic should things go awry and you need an emergency c. I think that if you have an idea of what the procedure will entail it will help you panic less (if that's possible).
I also think it's an unofficial way of them obtaining informed consent from you - it will explain the risks and benefits of the procedure so you will be well informed prior to going into labor. As a med mal attorney, I can tell you that informed consent is a HUGE thing and it's not like you are going to be listening to the risks and benefits in the event things don't go as planned. From a liability standpoint, it's a smart maneuver.
To the first part: That is something I take issue with, that their c-section rate is so high. NO WAY half the women walking through their doors to give birth NEED a section. Like I said, why not offer a class on minimizing your chances of a c-section and offering that kind of education.
As for the informed consent, either way they'll need your signature before they can touch you, so I really don't see how this class would help them (legally) one way or the other. Since this is your field, do you mind explaining that better? I would really appreciate that!
I'm not really sure what you mean by preventing c-sections. I'm not trying to be facetious, I'm just not following. I have never encountered an OB/Gyn that does not prefer vaginal delivery if they have the option. Without freaking any moms to be out, there are many, many unanticipated things that can go wrong with either mom, baby or both that will force the switch. I have never heard of a situation where the switch was caused by the OB/Gyn and/or hospital staff. Although I guess there are ways that mom can take preventative measures to try to heed conditions that can lead to a c if that is what you were referring to?
Without boring you with specifics of legalities, in any med mal case it is always claimed that informed consent was not given. I'm sure it comes as no surprise that there are many malpractice cases stemming from mishaps during labor. While they will certainly require your signature before they can start a c, chances are they are not going to have the opportunity to explain to you every risk involved with the procedure. Even if they do have the time to do that, you probably aren't going to be too concerned about it. The class is one way of putting it all out there to the patient ahead of time so that later on, God forbid something went wrong, and part of the claim is that there was a lack of informed consent, it will be easier for that aspect of the claim be dismissed when they can prove you sat in a one hour class learning all about it.
In any event, it's inconvenient and annoying for us. I totally agree with you that they should be more worried about teaching infant CPR or prevention of shaken baby. That is certainly more useful to us.
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Posted 2/1/11 11:12 PM |
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babyonboard2010
our little monkey butt
Member since 6/10 1086 total posts
Name: Kristi
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Re: Good Sam--mandatory c-section class???
Posted by FirstMate
Posted by BaseballWidow
Posted by FirstMate
BUT the reality of labor is that so many things can go wrong at any time that chances of converting to a C Section are relatively high. I think the point of all of this is to educate you on what is going to be happening to you so that you don't lose your mind in a panic should things go awry and you need an emergency c. I think that if you have an idea of what the procedure will entail it will help you panic less (if that's possible).
I also think it's an unofficial way of them obtaining informed consent from you - it will explain the risks and benefits of the procedure so you will be well informed prior to going into labor. As a med mal attorney, I can tell you that informed consent is a HUGE thing and it's not like you are going to be listening to the risks and benefits in the event things don't go as planned. From a liability standpoint, it's a smart maneuver.
To the first part: That is something I take issue with, that their c-section rate is so high. NO WAY half the women walking through their doors to give birth NEED a section. Like I said, why not offer a class on minimizing your chances of a c-section and offering that kind of education.
As for the informed consent, either way they'll need your signature before they can touch you, so I really don't see how this class would help them (legally) one way or the other. Since this is your field, do you mind explaining that better? I would really appreciate that!
I'm not really sure what you mean by preventing c-sections. I'm not trying to be facetious, I'm just not following. I have never encountered an OB/Gyn that does not prefer vaginal delivery if they have the option. Without freaking any moms to be out, there are many, many unanticipated things that can go wrong with either mom, baby or both that will force the switch. I have never heard of a situation where the switch was caused by the OB/Gyn and/or hospital staff. Although I guess there are ways that mom can take preventative measures to try to heed conditions that can lead to a c if that is what you were referring to?
Without boring you with specifics of legalities, in any med mal case it is always claimed that informed consent was not given. I'm sure it comes as no surprise that there are many malpractice cases stemming from mishaps during labor. While they will certainly require your signature before they can start a c, chances are they are not going to have the opportunity to explain to you every risk involved with the procedure. Even if they do have the time to do that, you probably aren't going to be too concerned about it. The class is one way of putting it all out there to the patient ahead of time so that later on, God forbid something went wrong, and part of the claim is that there was a lack of informed consent, it will be easier for that aspect of the claim be dismissed when they can prove you sat in a one hour class learning all about it.
In any event, it's inconvenient and annoying for us. I totally agree with you that they should be more worried about teaching infant CPR or prevention of shaken baby. That is certainly more useful to us.
part of the c-section class at good sam is actually dedicated to educating people on shaken baby syndrome.
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Posted 2/1/11 11:26 PM |
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