Informed consent and birth: Protecting the pelvic floor and ourselves

The controversy over elective cesarean versus vaginal birth with regard to pelvic floor trauma has left many caregivers and patients confused. With the growing evidence to support the development of fecal incontinence as a result of childbirth, we believe that it is imperative to reevaluate modern o...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2002-10, Vol.187 (4), p.981-983
Main Authors: O'Boyle, Amy L., Davis, Gary D., Calhoun, Byron C.
Format: Article
Language:English
Subjects:
Biological and medical sciences
childbirth
Delivery. Postpartum. Lactation
Disorders
fecal incontinence
Fecal Incontinence - etiology
Female
Gynecology. Andrology. Obstetrics
Humans
Informed Consent
Medical sciences
Parturition
Pelvic Floor - injuries
Pregnancy
Urinary Incontinence - etiology
Uterine Prolapse
Wounds and Injuries - complications
Wounds and Injuries - etiology
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Summary:The controversy over elective cesarean versus vaginal birth with regard to pelvic floor trauma has left many caregivers and patients confused. With the growing evidence to support the development of fecal incontinence as a result of childbirth, we believe that it is imperative to reevaluate modern obstetric practices both for the patient's benefit and for our medical-legal protection. Our attention and energy need to be focused on good informed consent regarding these risks along with improved postpartum surveillance for injury. (Am J Obstet Gynecol 2002;187:981-3.)
ISSN:0002-9378
1097-6868
DOI:10.1067/mob.2002.128085