11/05/2022
I haven’t had a consent rant in a while, so let’s do it!
Nothing can be done to you during pregnancy or labour without your consent.
Stretch and sweeps, monitoring, vaginal exams, episiotomies, caesareans…any intervention requires an informed decision-making process and at the end of that discussion, you can say yes or no.
In order for consent to be valid, certain legal criteria must be met. This holds for both oral and written consent.
• the patient giving consent must have capacity
• the consent must be freely given (without pressure, coercion, or intimidation)
• the consent must be sufficiently specific to the procedure or treatment proposed
• the consent must be informed (benefits, risks, alternatives)
So, let’s consider the following.
Your caregiver suggests a stretch and sweep but does not explain the risks of the procedure. This is not informed consent.
Your caregiver says you have to have a vaginal exam before you can be admitted to the birth suite. This is not informed consent.
Your caregiver books you in for an induction without providing alternative options. This is not informed consent.
Your caregiver performs an episiotomy without an explanation of why it is necessary. This is not informed consent.
Obtaining consent is important not just because it is a legal requirement.
It is important because being actively involved in your care matters, what happens to you during labour matters, you matter!
If you don’t engage in that informed decision-making process, you aren’t the one determining what is best for you and for your baby…someone else is.
Unfortunately, informed consent is the number one human right violated in birth in Australia.
It is important to understand your rights and it is just as important that your birth partner understands your rights.
I get into all of this…as well as how to communicate with your caregivers in a way that encourages informed consent, a decision making framework, and birth preferences that can uphold your rights…in the Positive Birth Program.
You are the decision maker!
Taking ownership of that role is so empowering!
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