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	<title>Comments on: Thoughts on Informed Consent, Refusal and VBAC</title>
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	<description>bloggin&#039; for better births</description>
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		<title>By: Cmb_Jwab</title>
		<link>http://www.birthactivist.com/2010/03/thoughts-on-informed-consent-refusal-and-vbac/comment-page-1/#comment-5563</link>
		<dc:creator>Cmb_Jwab</dc:creator>
		<pubDate>Tue, 19 Apr 2011 17:08:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.birthactivist.com/?p=1275#comment-5563</guid>
		<description>I am going to be forced to have a c-section because my first birth had complications and I had to have one then.  I am diabetic and the thought of this type of surgery, just because it&#039;s their policy...I wont heal as well and my risks are far greater than that of a uterine rupture.  I believe I can make my own decisions about this, I wont be forced to the operating room, but I also will not be stupid and refuse one if it is actually needed.  I cannot talk or even close to reason with my OBGYN because it&#039;s not his decision to make, and I cannot get to another doctor...he&#039;s the only OB around here.  So I have to go behind his back and make my own informed decisions.  I am very frustrated and until I found out I could just refuse the c-section, I was going to attempt a VBAC at home, which is much more dangerous, simply because my voice wasn&#039;t heard.  I think it should be based upon a woman&#039;s individual circumstance, not on policies made from fears of law suits.</description>
		<content:encoded><![CDATA[<p>I am going to be forced to have a c-section because my first birth had complications and I had to have one then.  I am diabetic and the thought of this type of surgery, just because it&#8217;s their policy&#8230;I wont heal as well and my risks are far greater than that of a uterine rupture.  I believe I can make my own decisions about this, I wont be forced to the operating room, but I also will not be stupid and refuse one if it is actually needed.  I cannot talk or even close to reason with my OBGYN because it&#8217;s not his decision to make, and I cannot get to another doctor&#8230;he&#8217;s the only OB around here.  So I have to go behind his back and make my own informed decisions.  I am very frustrated and until I found out I could just refuse the c-section, I was going to attempt a VBAC at home, which is much more dangerous, simply because my voice wasn&#8217;t heard.  I think it should be based upon a woman&#8217;s individual circumstance, not on policies made from fears of law suits.</p>
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		<title>By: Articles and blogs on the NIH VBAC Consensus Panel &#124; BirthAction</title>
		<link>http://www.birthactivist.com/2010/03/thoughts-on-informed-consent-refusal-and-vbac/comment-page-1/#comment-5048</link>
		<dc:creator>Articles and blogs on the NIH VBAC Consensus Panel &#124; BirthAction</dc:creator>
		<pubDate>Mon, 03 Jan 2011 13:02:01 +0000</pubDate>
		<guid isPermaLink="false">http://www.birthactivist.com/?p=1275#comment-5048</guid>
		<description>[...] Thoughts on Informed Consent, Refusal and VBAC [...]</description>
		<content:encoded><![CDATA[<p>[...] Thoughts on Informed Consent, Refusal and VBAC [...]</p>
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		<title>By: NavelgazingMidwife</title>
		<link>http://www.birthactivist.com/2010/03/thoughts-on-informed-consent-refusal-and-vbac/comment-page-1/#comment-3674</link>
		<dc:creator>NavelgazingMidwife</dc:creator>
		<pubDate>Thu, 11 Mar 2010 17:32:15 +0000</pubDate>
		<guid isPermaLink="false">http://www.birthactivist.com/?p=1275#comment-3674</guid>
		<description>As a practitioner, one thing that came out of the conference (of which I&#039;ve watched most of so far) was that liability and insurance has ZERO to do with the decision for an incision. The life and health of the mother supercedes any worry the OB might have. His/her worries are hers to deal with. Making the best MEDICAL decision is all that matters.

This has transformed my practice - all in the span of 2.5 days.</description>
		<content:encoded><![CDATA[<p>As a practitioner, one thing that came out of the conference (of which I&#8217;ve watched most of so far) was that liability and insurance has ZERO to do with the decision for an incision. The life and health of the mother supercedes any worry the OB might have. His/her worries are hers to deal with. Making the best MEDICAL decision is all that matters.</p>
<p>This has transformed my practice &#8211; all in the span of 2.5 days.</p>
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