The Other Side of the Glass

Part One was officially released June 2013 in digital distribution format. To purchase to to www.theothersideoftheglass.com If you were a donor and want to download your copy send an email to theothersideoftheglassfilm@gmail.com.

The trailer

Wednesday, November 14, 2007

Pregnant Patient's Bill of Rights

Full credit to: http://www.aimsusa.org/ppbr.htm

THE PREGNANT PATIENT'S BILL OF RIGHTS

Many pregnant women are not fully aware of their right of informed consent or of the obstetricians' legal obligation to obtain their patient's informed consent prior to treatment. The American College of Obstetricians and Gynecologists (ACOG) first publicly acknowledged the physician's legal obligation to obtain his or her pregnant patient's informed consent in its 1974 publication, Standards for Obstetric-Gynecologic Services, (pg 66-67) which reads:

"It is important to note the distinction between 'consent' and 'informed consent'. Many physicians, because they do not realize there is a difference, believe they are free from liability if the patient consents to treatment. This is not true. The physician may still be liable if the patient's consent was not informed. In addition, the usual consent obtained by a hospital does not in any way release the physician from his legal duty of obtaining an informed consent from his patient.

"Most courts consider that the patient is 'informed' if the following information is given:

  • The processes contemplated by the physician as treatment, including whether the treatment is new or unusual.

  • The risks and hazards of the treatment,

  • The chances for recovery after treatment.

  • The necessity of the treatment.

  • The feasibility of alternative methods of treatment.

"One point on which courts do agree is that explanations must be given in such a way that the patient understands them. A physician cannot claim as a defense that he explained the procedure to the patient when he knew the patient did not understand. The physician has a duty to act with due care under the circumstances; this means he must be sure the patient understands what she is told.

"It should be emphasized that the following reasons are not sufficient to justify failure to inform:

  1. That the patient may prefer not to be told the unpleasant possibilities regarding the treatment.

  2. That full disclosure might suggest infinite dangers to a patient with an active imagination, thereby causing her to refuse treatment.

  3. That the patient, on learning the risks involved, might rationally decline treatment. The right to decline is the specific fundamental right protected by the informed consent doctrine."

American parents are becoming increasingly aware that well-intentioned health professionals do not always have scientific data to support common American obstetrical practices, and that many of these practices are carried out primarily because they are part of medical and hospital tradition.

The distingquished obstetrician Dr. Roberto Caldeyro-Barcia, while President of FIGO, the world congress of obstetricians-gynecologists, cautioned two decades ago:

"In the last forty years many artificial practices have been introduced which have changed childbirth from a physiological event to a very complicated medical procedure in which all kinds of drugs are used and procedures carried out, sometimes unnecessarily, and many of them potentially damaging for the baby and even for the mother".

A growing body of research makes it alarmingly clear that every aspect of traditional American hospital care during labor and delivery must now be questioned as to its possible effect on the future well-being of both the obstetric patient and her unborn child.

There has been a three hundred percent increase in the rate of autistic children in the United States in just one decade. One in every 35 children born in the United States today will eventually be diagnosed as retarded; in 75% of these cases there is no familial or genetic predisposing factor. One in every 10 to 17 children has been found to have some form of brain dysfunction or learning disability requiring special treatment. Such statistics are not confined to the lower socioeconomic group but cut across all segments of American society.

New concerns are being raised by childbearing women because no one knows how drug induced changes in brain chemistry, oxygen depletion, head compression, traction and skull fracture by both forceps and vacuum extractor the fetus and newborn infant can tolerate before that child sustains permanent brain damage or dysfunction. The findings regarding the cancer-related drug diethylstilbestrol have alerted the public to the fact that neither the approval of a drug by the U.S. Food and Drug Administration nor the fact that a drug is prescribed by a physician serves as a guarantee that a drug or medication is safe for the mother or her unborn child. In fact, the American Academy of Pediatrics' Committee on Drugs has stated that there is no drug, whether prescription or over-the-counter remedy, which has been proven safe for the unborn child.

The Pregnant Patient has the right to participate in decisions involving her well-being and that of her unborn child, unless there is a clearcut medical emergency that prevents her participation. In addition to the rights set forth in the American Hospital Association's "Patient's Bill of Rights," the Pregnant Patient, because she represents TWO patients rather than one, should be recognized as having the additional rights listed below.

  1. The Pregnant Patient has the right, prior to the administration of any drug or procedure, to be informed by the health professional caring for her of any potential direct or indirect effects, risks or hazards to herself or her unborn or newborn infant which may result from the use of a drug or procedure prescribed for or administered to her during pregnancy, labor, birth or lactation.

  2. The Pregnant Patient has the right, prior to the proposed therapy, to be informed, not only of the benefits, risks and hazards of the proposed therapy but also of known alternative therapy, such as available childbirth education classes which could help to prepare the Pregnant Patient physically and mentally to cope with the discomfort or stress of pregnancy and birth. Such classes have been shown to reduce or eliminate the Pregnant Patient's need for drugs and obstetric intervention and should be offered to her early in her pregnancy in order that she may make a reasoned decisions.

  3. The Pregnant Patient has the right, prior to the administration of any drug, to be informed by the health professional who is prescribing or administering the drug to her that any drug which she receives during pregnancy, labor and birth, no matter how or when the drug is taken or administered, may adversely affect her unborn baby, directly or indirectly, and that there is no drug or chemical which has been proven safe for the unborn child.

  4. The Pregnant Patient has the right if Cesarean birth is anticipated, to be informed prior to the administration of any drug, and preferably prior to her hospitalization, that minimizing her intake of nonessential pre-operative medicine will benefit her baby.

  5. The Pregnant Patient has the right, prior to the administration of a drug or procedure, to be informed of the areas of uncertainty if there is NO properly controlled follow-up research which has established the safety of the drug or procedure with regard to its on the fetus and the later physiological, mental and neurological development of the child. This caution applies to virtually all drugs and the vast majority of obstetric procedures.

  6. The Pregnant Patient has the right, prior to the administration of any drug, to be informed of the brand name and generic name of the drug in order that she may advise the health professional of any past adverse reaction to the drug.

  7. The Pregnant Patient has the right to determine for herself, without pressure from her attendant, whether she will or will not accept the risks inherent in the proposed treatment.

  8. The Pregnant Patient has the right to know the name and qualifications of the individual administering a drug or procedure to her during labor or birth.

  9. The Pregnant Patient has the right to be informed, prior to the administration of any procedure, whether that procedure is being administered to her because a) it is medically indicated, b) it is an elective procedure (for convenience, c) or for teaching purposes or research).

  10. The Pregnant Patient has the right to be accompanied during the stress of labor and birth by someone she cares for, and to whom she looks for emotional comfort and encouragement.

  11. The Pregnant Patient has the right after appropriate medical consultation to choose a position for labor and birth which is least stressful for her and her baby.

  12. The Obstetric Patient has the right to have her baby cared for at her bedside if her baby is normal, and to feed her baby according to her baby's needs rather than according to the hospital regimen.

  13. The Obstetric Patient has the right to be informed in writing of the name of the person who actually delivered her baby and the professional qualifications of that person. This information should also be on the birth certificate.

  14. The Obstetric Patient has the right to be informed if there is any known or indicated aspect of her or her baby's care or condition which may cause her or her baby later difficulty or problems.

  15. The Obstetric Patient has the right to have her and her baby's hospital- medical records complete, accurate and legible and to have their records, including nursing notes, retained by the hospital until the child reaches at least the age of majority, or, alternatively, to have the records offered to her before they are destroyed.

  16. The Obstetric Patient, both during and after her hospital stay, has the right to have access to her complete hospital-medical records, including nursing notes, and to receive a copy upon payment of a reasonable fee and without incurring the expense of retaining an attorney.

It is the obstetric patient and her baby, not the health professional, who must sustain any trauma or injury resulting from the use of a drug or obstetric procedure. The observation of the rights listed above will not only permit the obstetric patient to participate in the decisions involving her and her baby's health care, but will help to protect the health professional and the hospital against litigation arising from resentment or misunderstanding on the part of the mother.

Prepared by Doris Haire ©2000
American Foundation for Maternal and Child Health

2 comments:

Heather B. said...

Wouldn't it be wonderful if these rights were respected? The OB who removed my placenta was annoyed that I wanted to know my options, rather than just letting him do whatever he wanted without telling me.

Midwife International said...

Love this!! Thank you for sharing the Pregnant Patient's Bill of Rights.

We, at Midwife International, wish to make these rights universally respected. We do this through training midwives who are equipped to work in resource-constrained regions where maternal and child mortality is high and the need for professional midwives is greatest in order to improve women’s health and birth outcomes by providing excellence in midwifery education.
For more information, please visit: http://midwifeinternational.org/midwife-training/.

Thank you for all that you do!

"Soft is the heart of a child. Do not harden it."

A public awareness reminder that things that happen behind the scenes, out of our sight, aren't always as rosy as we might think them to be. Perhaps its a restaurant cook who accidentally drops your burger on the floor before placing it on the bun and serving it to you. Here it's an overworked apathetic (pathetic) nurse giving my newborn daughter her first bath. Please comment and rate this video, so as to insure that it is viewed as widely as possible, perhaps to prevent other such abuse. -- The mother who posted this YouTube. How NOT to wash a baby on YouTube Are you going to try to tell me that "babies don't remember?" There is no difference to this baby's experience and the imprinting of her nervous system/brain and one that is held and cleaned by the mother or father either at the hospital or at home? By the way, this is probably NOT the baby's first bath. The nurse is ungloved. Medical staff protocol is that they can't handle a baby ungloved until is has been bathed (scrubbed if you've seen it) because the baby is a BIO-HAZARD -- for them. Never mind that the bio-hazard IS the baby's first line of defense against hospital germs.

Missouri Senator Louden Speaks

Finally, A Birth Film for Fathers

Part One of the "The Other Side of the Glass: Finally, A Birth Film for and about Men" was released June, 2013.

Through presentation of the current research and stories of fathers, the routine use of interventions are questioned. How we protect and support the physiological need of the human newborn attachment sequence is the foundation for creating safe birth wherever birth happens.

Based on knowing that babies are sentient beings and the experience of birth is remembered in the body, mind, and soul, fathers are asked to research for themselves what is best for their partner and baby and to prepare to protect their baby.

The film is designed for midwives, doulas, and couples, particularly fathers to work with their caregivers. Doctors and nurses in the medical environment are asked to "be kind" to the laboring, birthing baby, and newborn. They are called to be accountable for doing what science has been so clear about for decades. The mother-baby relationship is core for life. Doctors and nurses and hospital caregivers and administrators are asked to create protocols that protect the mother-baby relationship.

Men are asked to join together to address the vagaries of the medical system that harm their partner, baby and self in the process of the most defining moments of their lives. Men are asked to begin to challenge the system BEFORE they even conceive babies as there is no way to be assured of being able to protect his loved ones once they are in the medical machine, the war zone, on the conveyor belt -- some of the ways that men describe their journey into fatherhood in the medicine culture.

Donors can email theothersideoftheglassfilm@gmail.com to get a digital copy.
Buy the film at www.theothersideoftheglass.com.

The film focuses on the male baby, his journey from the womb to the world and reveals healing and integrating the mother, father, and baby's wounded birth experience. The film is about the restoring of our families, society, and world through birthing loved, protected, and nurtured males (and females, of course). It's about empowering males to support the females to birth humanity safely, lovingly, and consciously.

Finally, a birth film for fathers.

What People Are Saying About the FIlm

Well, I finally had a chance to check out the trailer and .. wow! It's nice that they're acknowledging the father has more than just cursory rights (of course mom's rights are rarely acknowledged either) and it's great that they're bringing out the impact of the experience on the newborn, but I'm really impressed that they're not shying away from the political side.

They are rightly calling what happens in every American maternity unit, every day, by its rightful name - abuse. Abuse of the newborn, abuse of the parents and their rights, abuse of the supposedly sacrosanct ethical principal of patient autonomy and the medico-legal doctrine of informed consent, which has been long ago discarded in all but name. I love it!

In the immortal words of the "shrub", "bring it on!" This film needs to be shown and if I can help facilitate or promote it, let me know.

Father in Asheville, NC


OMG'ess, I just saw the trailer and am in tears. This is so needed. I watch over and over and over as fathers get swallowed in the fear of hospitals birth practice. I need a tool like this to help fathers see how very vital it is for them to protect their partner and baby. I am torn apart every time I see a father stand back and chew his knuckle while his wife is essentially assaulted or his baby is left to lie there screaming.
Please send me more info!!!!
Carrie Hankins
CD(DONA), CCCE, Aspiring Midwife
720-936-3609


Thanks for sharing this. It was very touching to me. I thought of my brother-in-law standing on the other side of the glass when my sister had to have a C-section with her first child because the doctor was missing his golf date. I'll never forget his pacing back and forth and my realizing that he was already a father, even though he hadn't been allowed to be with his son yet.

Margaret, Columbia, MO

In case you don't find me here

Soon, I'll be back to heavy-duty editing and it will be quiet here again. I keep thinking this blog is winding down, and then it revives. It is so important to me.

I wish I'd kept a blog of my journey with this film this past 10 months. It's been amazing.

I have a new blog address for the film, and will keep a journal of simple reporting of the journey for the rest of the film.


www.theothersideoftheglassthefilm.blogspot.com


I'll be heading east this week to meet with a group of men. I plan to post pictures and clips on the film blog.

I'll keep up here when I can -- when I learn something juicy, outrageous, or inspiring related to making birth safer for the birthing baby.

Review of the film

Most of us were born surrounded by people who had no clue about how aware and feeling we were. This trailer triggers a lot of emotions for people if they have not considered the baby's needs and were not considered as a baby. Most of us born in the US were not. The final film will include detailed and profound information about the science-based, cutting-edge therapies for healing birth trauma.

The full film will have the interviews of a wider spectrum of professionals and fathers, and will include a third birth, at home, where the caregivers do a necessary intervention, suctioning, while being conscious of the baby.

The final version will feature OBs, RNs, CNMs, LM, CPM, Doulas, childbirth educators, pre and perinatal psychologists and trauma healing therapists, physiologists, neurologists, speech therapists and lots and lots of fathers -- will hopefully be done in early 2009.

The final version will include the science needed to advocated for delayed cord clamping, and the science that shows when a baby needs to be suctioned and addresses other interventions. Experts in conscious parenting will teach how to be present with a sentient newborn in a conscious, gentle way -- especially when administering life-saving techniques.

The goal is to keep the baby in the mother's arms so that the baby gets all of his or her placental blood and to avoid unnecessary, violating, and abusive touch and interactions. When we do that, whether at home or hospital, with doctor or midwife, the birth is safe for the father. The "trick" for birthing men and women is how to make it happen in the hospital.

Birth Trauma Healing

Ani DeFranco Speaks About Her Homebirth

"Self-Evident" by Ani DeFranco

Patrick Houser at www.Fatherstobe.org

Colin speaks out about interventions at birth

Dolphins