When Consent Does Not Help

Pregnant women with a prior cesarean delivery face challenges in accessing a vaginal birth due to both hospital and provider preferences and practices. Although the doctrine of informed consent secures women's reproductive rights, it is not a viable legal remedy. Instead, women should champion increased maternity-related education and transparency as well as medical malpractice reform to increase the desired access.

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Verification a model of predicting vaginal birth after cesarean delivery in Chinese pregnant women

Medicine ◽

10.1097/md.0000000000018421 ◽

2019 ◽

Vol 98 (52) ◽

pp. e18421

Author(s):

Ping Xu ◽

Ying Feng ◽

Huaxiang Shen ◽

Jing Luo ◽

Yueping Tao

Keyword(s):

Pregnant Women ◽

Cesarean Delivery ◽

Vaginal Birth ◽

Vaginal Birth After Cesarean

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Informed Consent for a Vaginal Birth After Previous Cesarean Delivery

Journal of Midwifery & Women s Health ◽

10.1016/j.jmwh.2009.02.010 ◽

2009 ◽

Vol 54 (3) ◽

pp. 249-253 ◽

Cited By ~ 5

Author(s):

Aaron B. Caughey

Keyword(s):

Informed Consent ◽

Cesarean Delivery ◽

Vaginal Birth ◽

Previous Cesarean

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Attitudes of Primary Pregnant Women Toward Preference of Birth Method in Dezful, Iran: A Cross-Sectional Study

Modern Health Science ◽

10.30560/mhs.v4n1p1 ◽

2021 ◽

Vol 4 (1) ◽

pp. p1

Author(s):

Mahnaz Nosratabadi ◽

Nasrin Sarabi ◽

Leila Masoudiyekta ◽

Zahra Abbaspoor ◽

Aziz Kassani

Keyword(s):

Cesarean Section ◽

Pregnant Women ◽

Cesarean Delivery ◽

Vaginal Delivery ◽

Cross Sectional Study ◽

Vaginal Birth ◽

Normal Vaginal Delivery ◽

Sectional Study ◽

Delivery Method ◽

Cross Sectional

Introduction: Choosing the birth method is a major issue for pregnant women that is affected by multifaceted physiological, psychological and socio-cultural factors. Aim(s): The aim research was performed to explore factors influencing pregnant women’s attitude toward birth method. Methods: This is a cross-sectional study on 220 healthy nulliparous pregnant women with uncomplicated pregnancies without any contraindication for vaginal birth in Medical Centers of Dezful, in the south west of Iran. Data collection tool was a questionnaire for factors affecting the choice of delivery method. Differences in attitude were compared between two groups of natural vaginal delivery preference and cesarean delivery preference. Statistical analysis was performed with SPSS Version 16.0 statistic software package. Descriptive statistics were used to report percentages, mean, and standard deviation, and t-test, chi-square were applied to analyze the data. Results: During the study period, 206 primary pregnant women were examined to determine the attitudinal influencing factors the birth method preference. 131 women (64%) chose the natural delivery method and 71 women (36%) chose the cesarean delivery method. In addition, the results showed a statistically significant difference between the two groups regarding the general attitude of the participants towards natural delivery (164.43 in the normal vaginal delivery (NVD) group versus 134.50 in the cesarean section (CS) group (p < 0.001)). Conclusion: There is a direct relationship between the attitude of pregnant women towards vaginal birth and the tendency to normal vaginal delivery and cesarean section. Also, according to the results of the study of 8 components of attitudes, counseling sessions and prenatal training sessions can be identified based on counseling needs and be guided counseling sessions more purposefully.

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Adversarial Medical and Scientific Testimony and Lay Jurors: A Proposal for Medical Malpractice Reform

American Journal of Law & Medicine ◽

10.1017/s0098858800006353 ◽

1995 ◽

Vol 21 (2-3) ◽

pp. 281-300

Author(s):

Jody Weisberg Menon

Keyword(s):

General Theory ◽

Legal System ◽

Medical Malpractice ◽

Common Knowledge ◽

Common Law ◽

Expert Witnesses ◽

Malpractice Reform ◽

The Right ◽

Scholarly Attention ◽

Scientific Testimony

Pleas for reform of the legal system are common. One area of the legal system which has drawn considerable scholarly attention is the jury system. Courts often employ juries as fact-finders in civil cases according to the Seventh Amendment of the Constitution: “In Suits at common law, where the value in controversy shall exceed twenty dollars, the right of trial by jury shall be preserved … .” The general theory behind the use of juries is that they are the most capable fact-finders and the bestsuited tribunal for arriving at the most accurate and just outcomes. This idea, however, has been under attack, particularly by those who claim that cases involving certain difficult issues or types of evidence are an inappropriate province for lay jurors who typically have no special background or experience from which to make informed, fair decisions.The legal system uses expert witnesses to assist triers of fact in understanding issues which are beyond their common knowledge or difficult to comprehend.

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Cesarean delivery on maternal request and its influencing factors in Chongqing, China

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03866-7 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Ruibin Deng ◽

Xian Tang ◽

Jiaxiu Liu ◽

Yuwen Gao ◽

Xiaoni Zhong

Keyword(s):

Logistic Regression ◽

Pregnant Women ◽

Cesarean Delivery ◽

High Rate ◽

Primiparous Woman ◽

Personal Factors ◽

Maternal Request ◽

Primary Indication ◽

Vaginal Deliveries

Abstract Background A high rate of cesarean delivery has become a cause of global concern. Although the rate of cesarean delivery has declined over recent years, it remains at a high level largely because of cesarean delivery on maternal request (CDMR). Unnecessary cesarean delivery has limited significance in benefiting maternal and infant physical health; in some ways, it might pose potential risks instead. With the implementation of the “Two-child Policy” in China, an increasing number of women plan to have a second child. Accordingly, how to handle the CDMR rate in China remains an important issue. Methods Data were collected from a longitudinal follow-up study conducted in Chongqing, China, from 2018 to 2019. A structured questionnaire was administered to subjects for data collection. Basic information, including demographic characteristics, living habits, medical history, and follow-up data of pregnant women, as well as their families and society, was collected. Additionally, delivery outcomes were recorded. Logistic regression was performed to analyze the factors influencing CDMR. Results The rate of cesarean delivery in Chongqing, China was 36.01 %, and the CDMR rate was 8.42 %. Maternal request (23.38 %), fetal distress (22.73 %), and pregnancy complications (9.96 %) were the top three indications for cesarean delivery. Logistic regression analysis showed that older age (OR = 4.292, 95 % CI: 1.984–9.283) and being a primiparous woman (OR = 6.792, 95 % CI: 3.230-14.281) were risk factors for CDMR. In addition, CDMR was also associated with factors such as the tendency to choose cesarean delivery during late pregnancy (OR = 5.525, 95 % CI: 2.116–14.431), frequent contact with mothers who had undergone vaginal deliveries (OR = 0.547, 95 % CI: 0.311–0.961), and the recommendation of cesarean delivery by doctors (OR = 4.071, 95 % CI: 1.007–16.455). Conclusions “Maternal request” has become the primary indication for cesarean delivery. The occurrence of CDMR is related to both the personal factors of women during pregnancy and others. Medical institutions and obstetricians should continue popularizing delivery knowledge among pregnant women, enhancing their own professional knowledge about delivery, adhering to the standard indications for cesarean delivery, and providing pregnant women with adequate opportunities for attempting vaginal delivery.

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Formulating an anesthetic plan using a list of high-risk pregnant women on cloud-based business communication tools: a case report

JA Clinical Reports ◽

10.1186/s40981-021-00430-2 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Junnosuke Kimura ◽

Kento Kawamura ◽

Manami Minoura ◽

Ayako Hiramoto ◽

Yoshifumi Suga ◽

...

Keyword(s):

Case Report ◽

High Risk ◽

Cesarean Section ◽

General Anesthesia ◽

Pregnant Women ◽

Cesarean Delivery ◽

Business Communication ◽

Communication Tools ◽

Case Presentation ◽

Emergency Cesarean

Abstract Background We report a case in which a list of high-risk pregnant women on cloud-based business communication tools was useful in formulating an anesthetic plan for unscheduled cesarean section. Case presentation A 37-year-old woman, who had been prescribed icosapentate for hypertriglyceridemia, received an antenatal anesthetic evaluation for possible cesarean delivery, and it was agreed that the anesthetic method for emergency cesarean section was general anesthesia if the surgery would take place within 7 days after the discontinuation of the drug, and regional anesthesia if it would take place any time later. Then this agreement was uploaded on the cloud-based business communication tools, and updated until she delivered her baby via unscheduled cesarean section. Conclusions A cloud-based business communication tools was useful in formulating an anesthesia plan for a patient undergoing a cesarean delivery. However, more discussion would be needed to utilize it in security.

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