bullet1 Informed Consent in British Columbia on Child Birth

    Informed Consent in legal terms means if it a medical care and/or treatment with no warning of risks or alternative choices, the person did not give true informed consent.  Nor had the informaiton provided to make a true informed choice.  The care and treatment, may then regarded as a form of criminal assault and battery, and also a civil tort to be compensated for personal injury.  Both must be heard in the Court. by Donna Young, Natural Birth Education.

For Reference this Url is:  www.lotusbirth.com/doc/FEB2003Lotusbirth-443.htm  (Revised March 29, 2004)


    This may be particularly true for women in child birth because they are not sick. Please see the comments of a midwife, and mother, Charolotte Millington, Informed Choice , title in red, below.

    

    The facts are, it was ruled a doctor erred in giving a woman a c-section, against her will, in London, UK. First she lost, but under an Appeal, she won.  Details at: Right of Mother to refuse treatment: c-section BMJ 1997;314:993 (5 April) http://bmj.com/cgi/content/full/314/7086/993

Posted at:  http://www.123-baby-birth.com/constitution/doc/Constitution%20aug%207-124.htm


    A woman does not have to agree to have her body cut to give birth. Nor, does she have to be drugged to give birth.  And her legal rights are to know the risks and to be told of safer options in order to avoid drugs or cutting of her body, such as warm water births, and freedom of movement to give birth.  


    Her choices for natural birth, refusing drugs and cutting of her body, may have some risks that she may die in child birth, whether or not she chooses natural birth or "active management".  It is never assured a woman will not die from the cutting of her body to give birth or her baby, or from the side effects of the drugs.  Drugs can stop the heart from contracting properly, such as the ingredients in man-made oxytocins, commonly given to all women to cause them to birth faster.  Generally, that is for the convenience of a busy hospital staff.  


    Therefore, the options for a natural birth is no more at risk, if that is what the mother thinks is best.    It is her body, her informed decision.  So episiotomies or c-sections that were imposed on women, are not legal, if not given with "informed" consent.  The placing women on their backs or in semi-sitting positions are not legal, either, and often are the cause of cutting of the woman's body to birth her baby.  


    Policies of the Hospital for "appropriate care" are not legal.  They do not give informed consent for such matters. They can be challenged, I would think, in "both" criminal and civil Supreme Courts.  The Judge decides if a matter goes to court, not the police, but the Judge.  


    The Laying of Information is another way of getting the matter before a Judge.  This may be used, if the Police are not informed on violations to women and the child in childbirth, by unnecessary medical procedures.  They assume the College of Physicians and Surgeons do criminal investigations on their own criminal medical malpractice trends and policies outside of observable best practice possible, least risk of harm.  Often, then the police have refused to do an investigation on a professional group, by policy or by deed of individuals belonging to a group advocating harm to another group, defenseless babies.  


    AN ORDER OF MANDAMUS:  Also, there is a means to go before a Judge, for an Order of Mandamus, if the Federal and Provincial Governments are not protecting a group equally, the pregnant women and the child.  This may be that the Federal agents, receiving bad counsel or no counsel from their paid advisors, many of them lawyers, having a implied duty by their licensing and called to the Bar, did not counsel correctly on the Constitution and the Statutory laws, the criminal laws, implying duty of no harm done to another person, even by medical persons and their policies and their training.   


    Many of the government officials through their Health Agencies and Ministries were allowing the pregnant women to give birth in their licensed hospitals by their licensed medical agents, where exploitation of her body and her baby, were being done and without informed consent of safer and best practice possible.   They were knowingly for Grant Monies, paid by both the Provincial and Federal governments,  taking the newborn's blood, by early cord clamping directives, made in policies.  


    Nothing of this nature to violate the child, or to deny the woman of informed consent, to be self-directive in the best interest of the child if the mother is not in factual danger, the child is sacrificed for the mother's sake...but not by taking from the child what is legal his or hers.  The government has no good excuse to allege the did not know what their self-regulating agents, licensed in each Province, State, and Territory, were doing by trends.    They ought to know what is going on in medical training at Universities and in their hospitals, all supported by the tax dollars.  The governments appoint representatives to protect the public at large. They were paid to protect the public and not harm any other individual for protecting another person, without informed consent.  The good of the public cannot be by the sacrificing of others for that cause without informed consent.  The duty, implied, then is to protect the child for equal protection and security of person, not to be made a second class citizen, nor not to be equally valued and protected.  Hospitals and the agents that work in them, cannot overrule the Constitution, nor take away the need of informed choices.


ENDANGERING AND NEEDLESS TRENDS OF MEDICAL CARE AND TREATMENT:

    Any risk to the mother or the child by unnecessary procedure today, is endangering to them, when safer options are known, or ought to be.  Therefore, there are various sections in the Criminal Code that can be used to any person endangering another, needlessly.  Most, medical persons, when they have a concealed conflict of interest in hasty clamping, not told the mother, attempt to use an emergency excuse, such as short cord, fear of the mother bleeding, fear of too much blood, fear of too thick of blood, fear of too fast flowing blood, or their right to decide the quality of the life of the child, or life itself, in the timing of the clamping of the cord.  


    But nature of natural birth indicates the child thrives if no one stops the pulsating cord, along as the air is warm and the child is kept warm, the blood flows to the child from the placenta, to the lungs, maintaining proper volume and pressure, controlled by the child's own heart and beat.  And the mother does just fine without drugs and cutting of her baby to birth her child.  Her body makes the proper hormones to cause the muscles to expand, and the pelvic bones too...birth happens without interventions, in most instances, about 95 percent of all births.  


    The conflict of interest is to the Administration Board's own policies to take the trapped blood in the placenta and do as they wish with it, whether burning or using in transplants or research.   This has been done without informed consent, other than burning, and is a violation of Church and State to those individuals not believing in donating of blood or receiving it.  Acts 15 is Universal, and not to any one group.


    Many of the current hospital boards, have used deceptive excuses, not good excuses, in taking the baby's placenta, as they did cosmetic removal of that organ, and while it was yet in the womb, not leaving it attached to the owner/infant.  They need to explain possible conflict of interests when they failed to tell the women, no need to clamp or cut the cord at all.  This was a custom of the early pioneers, prior to the 1920's.  They allowed a violation of rights to consent by informed choice, for c-sections and vaginal births, for all babies, whether full term or premature babies.  


    The conflict of interest of using the child's organ and the blood trapped in it, needs to be explained more fully in a court of law, meant the actually harvested the baby's more precious then gold, placenta stem cell blood and other components of the blood and hormones.  


    The duty is on all adults involved in approving questionable policies that endangered the child, by hasty clamping of the cord, to anemia (and failed to test for this within days and weeks of the child's birth), and to be endangered to low blood volume, indicated by one symptom, jaundiced coloring of the skin and/or eyes, or both.  The jaundiced is caused by low blood volume and too many iron components remaining without sufficient volume of blood for it to be used, appropriately.  The iron remains after a red cell dies or is injured.  The red cell normally lives 120 days after the release into the blood stream.


     It takes one week to full maturity of a red cell, and it takes twelve days to create a white cell.  To deprive the child of full blood transfusion was to lessen these valued blood components to the benefit of the child's needs, and quick growth, now out of the womb, and greater activity, needing all the blood the baby created in 9 months, or when born.  The average 9-pound baby only makes 10 ounces of blood.


     Hasty clamping can take away 20 to 50 percent total blood volume.  The evidence is in the draining of the placenta, of which if done, is kept secret and off the child's medical records, how much was wasted (burned) or sent for another's purpose, in research or in transplants.  The policies of the hospital kept secret from the knowledge of those who trusted in no harm done, if they used the services at that birth center.

Reference of fact that it will take a weakened child from 6 weeks to 6 months to recreate the deprived blood is to Policy #71, December 1998, of the Society of Obstetricians and Gynecologists of Canada (SOGC), who have refused to cancel the bad in this policy and trend of hasty clamping and also policy #89, May 2000, that directed immediate clamping to be done routinely on "all" Canadian babies.  


    SOGC  followed the Policy #216, November 1995, of the American experts, of ACOG.  ACOG did protect their American babies by cancelling Policy #216, in January 2002, after some complaints.  I complained and Dr. George M. Morley complained. I complained to SOGC, but they continued to persist in a false policy.  Why?  Do they have shares in private stem cell blood corporations?  That may be a conflict of interest where the duty is to protect all members of society equally, and to security of persons, including the newborn citizen.  


Children do not have to submit to genetic testing, nor do their parents have to consent.  


    PKU testing is a genetic testing, often prescribing a very expensive diet for life, and not known to prevent harm to the child, by the facts the child was brain injured at birth by drugs and hasty clamping and not because of this PKU gene.


    Genetic testings and taking blood samples, and risking babies to virus infections by sticking needles in their pulsating umbilical cord vein, or any injections of their persons are not legal.  No medical procedure or policies of hospitals can treat a person like a prisoner without self-determination and informed choice of anything to be done on their person.  That includes women in child birth.

    

    The doctors thought, long ago, they had an Oath, of secrets of their care and attention, could to day, be called medical law.  It does not stand up nor rule over individual freedom of the will to say no to medical care and treatments.   What the doctors and now the midwives have done, is organized themselves by two or more doctors to take away a person's common law rights. They were are wrong.  The Court can be used to protect such persons the doctors intend to violate of Constitutional Rights of equal protection and security of person, not necessarily given by the doctor's decision or intent of practice.


    No professional group can do that to another, take away their Constitutional Rights and Charter of Rights and Freedoms, informed choice.  The legal guardian of the child is the parents, and that is by Supremacy of God, unless the Evidence of Fact show the intent of the parent is to cause the child harm.  The doctor cannot prove his method of care will give a cure, and not pain to the child.


    Often the drug treatment has no natural vitamins or minerals in the care recommended, but destroys blood and nutrients, and over time kills the patient, but the treatment was paid for by the medical insurance plans, and gave profit to the doctors and drug companies.  


    No one can make a policy that involves the individual right of the person.  That includes there is no privacy on medical records that the individual of those records cannot see and have a copy on. That includes hospital records and all tests, and all the doctors files and even from third party opinions.  


     Examples of Tests on babies .  It was ruled that if the medical persons had put a needle in the heel of the newborn infant to take a genetic blood sample to test for PKU, the judge, in Dublin, Ireland, said it would have been battery. He ruled the medical persons could not make compulsory tests to be imposed on healthy babies to test them for genetic disorders. What is not included in the assessment of any PKU child, if found to be genetic deformed is the early clamping and drugs used at birth.  One child after the special diet, was to be on the diet for life.  Details at:

http://web47.radiant.net/~pkunews/research/yap.htm

Court Case:Posted at:  http://www.123-baby-birth.com/constitution/doc/Constitution%20aug%207-102.htm

http://www.bmj.com/cgi/content/abridged/323/7322/1149


    The following are the thoughts of Charlotte Millington on Informed Consent for the ladies in British Columbia Canada:


Informed Consent

 By Charlotte Millington

http://www.birth.bc.ca/birth/articles/informed_consent.htm


Wouldn't it be nice if there were a magic phrase that you could use with any health practitioner that would make them completely freeze mid-movement, then slowly turn to you in deep respect as they realise that you know have the total key to your own health care?  Well, there is... sort of. The problem is that it is phrase that is neither well-known, nor well-understood by either parents or practitioners.  The phrase, in case you're wondering, is the term "Informed Consent".


Informed Consent is pretty much as it sounds: it the simple act of making a decision based on complete and accurate information.  What is great about informed consent is that it allows you to make knowledgeable, informed decisions, based on the concept that if you know all of the pros and all of the cons of a specific action, procedure, or medication, you will be prepared for whatever may happen as a result of your decision. In other words, you are not a passive recipient of your health care, but an active partner.  In theory, informed consent is an important part of health care. In theory, it is your right and your responsibility to make informed choices. In actual fact, informed consent is often a can of worms.


The problem with informed consent is that it is not a term that is understood by each member of society, and in the past, it has not been a theory that has been encouraged by medical practitioners. The reason for this is that, until recently, people were not encouraged to question doctor's orders. It has been accepted that doctors are "healers" who have our best interests at heart. Knowing that doctors have the ability to pull off miracles nothing short of resurrections, it is difficult to think that doctors are mere mortals. But if you can accept that mere mortals are not perfect, and that they can occasionally make flawed judgments, it is very wise to question everything and accept little.


So how, then, can informed consent be a problem?  It's very simple: there are some medical practitioners who plain old do not like to be questioned.


It's a particularly nasty thought. The idea that the occasional doctor (or other health practitioner) may get his or her nose out of joint over the idea that we asked the three questions: "Why?" and "What are my other alternatives?" and "What are the pros and cons of this?" is not something we modern-day health care consumers feel too good about. Clearly, it is not all of the practitioners who dislike informed consent; nonetheless, there remain many practitioners who are not happy about a non-compliant client.


Legally, you are well within your rights at any time to refuse to have any treatment on you or a minor in your care. All you have to do is utter the magic phrase, "I do not give my informed consent," and no one, regardless of how compelling their reasons, can touch you.  In British Columbia, no one has the right to touch you or provide medical treatment on you or your children, unless you give consent.  In medical terms, you have the right and the responsibility to say, "yes, I give my informed consent," or "no, I do not give my informed consent."


The problem however, is that a doctor also has the right to deem you an incompetent decision-maker (in extreme cases) or to become reactionary (in normal cases where a practitioner did not like you exercising your rights). What happens when you are deemed to be an incompetent decision-maker, is that the doctor has just labeled you a fruitcake and is going to get back to doing whatever he or she was previously doing, whether you like it or not. What happens when you end up with a reactionary practitioner is a whole lot more subversive.


In some cases, the  may simply refuse to treat you unless you are willing to accept that his or her methods are an important component in doing the best work he or she can.  It is possible that the practitioner will make a quick call to social services and let them know that you are unwilling to allow your children, unborn or born, proper treatment. Most of the time, these things won't happen and they are very extreme. But they do happen and they should be considered. Typically, however, what happens is that the practitioner treats you like garbage because he or she is unhappy that you have questioned his or her work. (Frankly, the notion of having an internal done by someone who has just written, "non-compliant," across your file in red ink is one that should concern most women.)


So, what are your options?


Well, there are many options.  Probably the most obvious one is that you can simply accept everything your practitioner tells you as valid. Question nothing; accept everything.  Many women do choose this route, either because they do not know about informed consent or because they do know about informed consent and they don't like the risks.  It is the least satisfying of the options and certainly the choice that carries the most substantial risk. Another choice is to question when you feel a need to ask questions and then wait for the reactions of the caregivers. This also has its risks, but if it means that an unnecessary intervention will not be performed on you, it may be a worthwhile risk.


Most of the time, a practitioner will be pleased to help you make the best decisions possible. Some of the time, he or she will resent your questions.  If you have asked for more information, all under the phrase of informed consent, and your practitioner has not reacted well, you have more choices. Here are the top five:


1. You can stick to your choices, continue to refuse treatment or an intervention because you know it is right for you, and live with the crabby practitioner.


2. You can stick to your choices and ask for a new practitioner. You have the right to refuse to be treated by someone who you do not like, but be aware that if you request a new practitioner, they will only come after an earful from the previous practitioner, a fact which may or may not be relevant.


3. You can backpedal, smile, apologise, and go for the practitioner's original suggestion.


4. You can ask for a few moments to consider your options.


5. You can try and negotiate something that makes both you and the practitioner feel good.  While this sounds reasonably good, remember that a conflict with a practitioner is not a situation to be negotiated with the idea of a win/win outcome. Your practitioner has nothing at stake. You do.


Ultimately, how you choose to handle informed consent is your choice. There is no right or wrong way, but there are some ways that may better suit your needs than other ways. What it really comes down to is this: your health is in your hands. How you choose to take responsibility for it is up to you. Ethically and legally, the responsibility is yours.


Charlotte Millington is a Maternity Photographer, Doula, and Prenatal Instructor in Victoria, BC.  An advocate for childbirth and reproductive freedom, she is British Columbia's only professional photographer who also attends births.  She has been attending births since 1991. She is also a mom.

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Links:   www.lotusbirth.com/doc/FEB2003Lotusbirth-435.htm     Diagram on the fetal circulation to the neonate circulation form.


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Search this www.lotusbirth.com web site for :  AAP policy, SOGC policy, ACOG policy; Placenta; Fetus to Neonate Circulation; 30-second clamping; World Health Organization and Dupont ; Circumcision ; Dr. Sarah Buckley's Declaration ; Canadian Criminal Codes and when a baby is a person; and any other subject you may be interested in  child birth.  Search Lotusbirth


(Reference from Protect Babies http://www.123-baby-birth.com)   Search at Google this web site for the " No Policies " on equal protection to babies at from the various government officials who appointed representatives to protect the public on medical policies and practices; also the "No policies" of the various medical associations, societies, and colleges did not live up to no form of discrimination to women or the child of any kind.  It is believed they had a duty to have a policy of equal protection and security of person, regardless of:  age, mental or physical  disadvantages ; race, color, social or marital status of the pregnant lady ; or belief or faith of the family, or genetic type of blood sought for by medical researchers, for stem cell matching, and use of white cells, mature red cells, platelets, enzymes, hormones, and plasma.

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