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RECHTLICHE FRAGEN


Worüber Frauen informiert werden müssen - vor der OP!


WOMEN

Women with abnormal bleeding shall be informed in writing of the hormone options to stop the abnormal bleeding.

Women with symptomatic fibroid shall be informed in writing of the hormone option that permanently shrinks the fibroid in one third of cases.

 

Women consenting to a D&C shall be informed in writing of one to two percent low incidence of a positive result.

Women shall be informed in writing of that "atypia" does not necessarily mean cancer and excessively bloody smears make the test of less value.


http://www.informedconsent.org/draft.html


Women consenting to abdominal hysterectomy (womb/uterus removal) or women who are anemic shall be informed of the hormone option to stop uterine bleeding and to reduce uterine size for vaginal (no large abdominal scar) removal.

The consent for removal of normal ovaries shall state she clearly knows her ovaries are normal, and a clear, cogent reason for wanting her normal ovaries removed. The consent shall contain the word castration if both ovaries are to be removed. Consent to operate on ovaries and uterus shall state whether she wants only the abnormality or the whole ovary or uterus removed.

Women shall be informed

 

  • that ovaries produce multiple hormones that are not medically replaced;
  • that lifelong artificial hormones can lead to cancer;
  • of the significance of hemorrhagic cysts and adhesions;
  • that an ovary with a functional cyst is an otherwise normal ovary releasing its egg;
  • that the uterus is part of the immune system, produces sex hormones, and that uterine quivering is part of the orgasmic response.

 

Women shall be informed that any abdominal surgery on the reproductive organs can decrease sex drive and orgasmic fulfillment.

 

The use of a Weighted Speculum shall require signed legal consent along with documentation that the person handled both the weighted speculum and the appropriately sized duckbill speculum and made an informed choice.

The report of procedure shall include the size and weight of the speculum used along with the length of time it compromised the introitus.

 

Women shall be informed that any surgical manipulation of the external genitals can result in decreased sexual sensation and orgasmic fulfillment.

 

Women consenting to mastectomy (breast removal) shall be informed of the current statistics showing lumpectomy (lump only, not breast removal) to be equal in effectiveness.

 

Women facing mastectomy shall be informed in writing of the current statistics concerning the 30% disagreement rate among pathologists as to whether a pathology slide is cancerous; she shall be offered a second pathologist's opinion; and she shall be given her pathology glass slide to take home and keep.

 

Women consenting to infertility treatment shall be given success statistics for each particular procedure both national and facility specific.

 

Women consenting to any female procedure shall be given take-home written American College of Gynecology surgical indications for her consented procedure and indications for all alternatives to her consented procedure.

Women consenting to hysterectomy for pelvic pain shall be given written information about all the possible causes of pelvic pain including bowel, and bladder pain causation. They shall be offered a diagnostic and therapeutic trial of bowel and bladder antispasmodic medication to rule out bowel and bladder as a cause of the pelvic pain. They shall also be offered a diagnostic pelvic MRI or CAT scan

 

Expectant mothers shall be shown a videotape and informed of the 95% no-tear success statistics using midwife birthing techniques of perineal support and massage and 71% no-tear success statistics with under-water birth and no perineal support and massage.

 

Episiotomy (genital cutting and stitching to temporarily enlarge the birth opening) shall require signed legal consent, shall be written in generally understood words, and shall include the no episiotomy birthing option.

Expectant mothers shall be informed how each and every drug can alter her contractions, her pushing reflex, and her chances of needing a caesarian surgery.

 

Each drug that can alter the natural birth shall require signed legal consent.

 

Birthgiving mothers shall be informed of their option to choose vertical birthing posture and freedom of movement: walking, standing, sitting, squatting, side lying, crawling, rocking, and in-water birthing positions, and shall assume any birthing position she chooses at any and all times during her birthing process.

 

Caesarean surgery consent shall be obtained without intimidation, coercion, or pharmacologic restraint.