I walked into Banana Republic and picked up a shirt I liked. A sales lady walked over to me and said I shouldn’t like that one, then led me to another area of the store and handed me a different shirt. I told her I didn’t like it: it wasn’t my style, I didn’t care for the color, and they didn’t even have my size. She told me I really needed to buy this one anyway and that I should trust her– after all, she’s the professional who does this every day and she really had my best interests at heart. I was very confused, uncomfortable, and was generally getting pissed off. If I couldn’t buy the shirt that I wanted, then gosh darnit if I wasn’t going to walk out of that store empty-handed!
When you shop for clothes, what you buy is completely up to you. You are the consumer. The options are: consider it longer, take it, or leave it.
Now let’s say you’re in labor (ahhh-HA you’re saying, “NOW I see where this is going!”) and the doctor comes in and says “I know you were planning on buying this shirt but I think you should by another one instead.” Did you know you have the option to reply, “No thank you, that’s not my style”? She can continue on with all the reasons why she thinks a different shirt would be best and they may or may not be valid reasons. However, the end result is in your hands– you are the consumer. Consider it longer, take it, or leave it?
As a paramedic I am very aware of how this system works. The patient always has the option to tell me NO to a medication, NO to an IV, and NO to any other treatment I may want to perform (unless the patient is unconscious, then “implied consent” kicks in and I do what I believe is best, based on my training). If the patient tells me no, I will tell them the reasons why I believe it’s in their best interest to have the drug/IV/splint and they’ll either accept my opinion or not. While I’ll always do my best to explain the “whys”, I know that I’m always covering my butt as well. In the medical field, crazy people are always looking for a lawsuit and paramedics/doctors/nurses/etc are all trained to prevent a lawsuit from happening. That’s why we treat, in most cases, above and beyond “just in case” the worst scenario happens.
So here you are in labor. If you want nature to take its course and wait for your body and baby to make way for the miracle of birth, your doctor can’t do anything to cover her butt. She gets nervous that maybe it’s taking too long. Maybe the baby’s heart rate’s dropping a bit. Maybe something could go wrong. What’s the best way to cover her butt? Convince you that the baby’s health could be in jeopardy and the best course of action is a Cesarean section: a major surgery that requires major recovery. Yes, C-sections are done in oodles across the nation… but it’s still surgery.
With a C-section, the doctor has every action in her hands. She gives you the drugs, digs in with the scalpel, pulls out the baby, and ta-da! Oh yeah, and by this point you’ve already signed all the paperwork to prevent the possibility of a lawsuit. There’s less opportunity for the baby to become troubled… even though the chance for baby to become jeopardized in the first place was itsy-bitsy.
Don’t get me wrong– there are a lot of scenarios when C-sections are necessary and life-saving. But the last statistic I saw was that 34% of births in the US are from C-sections. I’m pretty dumb at math but I know that means if you line up 3 women, at least 1 one of them had a C-section. Did she need it? Did she want it? Did she know that she, as the consumer, had the right to say no and keep on laboring even if that’s not convenient for the doctor’s schedule (assuming baby is safe, of course)?
I’m not angry at people who have a C-section. I’m not angry at people who will use every drug in the cabinet during labor. I’m not angry at the doctors who are trying to keep their licenses. I’m angry at the fact that patients are often misled to approve procedures that make them feel confused, uncomfortable, and pissed off; and usually by leading these patients to believe they may be putting their baby’s health at risk. After all, there’s no demographic out there more guilt-ridden than a pregnant lady! You have the right to ask for more information, say NO, and even get up out of bed and walk out the door.
No matter what you choose to be done (or not done) during labor/delivery, you are the consumer and it’s your choice. The same goes for the dentist, the ambulance ride after a car wreck, the diamond ring, or that gosh darned shirt at Banana Republic.
Know your rights. Be educated on the options. Insist on reliable information. It’s all about being a smart consumer.
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