Autonomy, Authority, Coercion & Consent: Who Decides in Maternity Care?


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Dec 27 2024 71 mins  

Jen Kamel, founder of VBAC Facts®, discusses the principles of informed decision making in the context of vaginal birth after cesarean (VBAC) versus repeat cesarean. Emphasizing the ethical obligations in healthcare, Jen explores ACOG's Committee Opinion on respecting a pregnant woman's autonomy and decision-making rights. Real-life testimonials from petite readers who had successful VBACs highlight the possibilities and challenge common misconceptions. The episode also addresses ethical dilemmas, coercion, and the importance of respectful and supportive communication between healthcare providers and birthing people, especially when recommended treatments are refused.

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Studies mentioned

  • "One study found that over half of the people who had a cesarean for FTP, failure to progress, were not six centimeters, which is one of the criteria they need to meet in order to receive that diagnosis." Zhang, J., Troendle, J., Reddy, U.,et al. (2010). Contemporary cesarean delivery practice in the United States. The American Journal of Obstetrics & Gynecology, 203(4), 326.e1-326.e10. https://www.ncbi.nlm.nih.gov/pubmed/20708166

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