How do you feel about 'assumed consent'?

[HotI]

I know this thread was from a little while ago, but a few things have been playing on my mind from it.

And, I know it's not politically correct to say this, but after what I have been through so far on this journey, I can honestly say that I have less concern about how I might be treated during the birthing process, whether I am cut, treated like a piece of meat, a number....whatever by the most arrogant OB that ever walked the earth, because to me, the end goal is far more important.

This para in particular has been going around my head. Not because it is not PC, it's that it doen't make sense. None of those things are going to increase your chances of having a healthy baby at the end, so i don't understand why you would accept for them yourself, or for any woman.

This is not fair. I don't think anyone suggested those who do NOT give informed consent have a lower desire for a healthy baby. Nor should any blame be pinned on the people happy to give implied consent for encouraging a culture which "belittles the rights of somebody else". If it is valid for you to have your choices respected, it is valid for me to have mine respected. My own implied consent doesn't mean you can't choose not to give implied consent, in fact it doesn't imply anything about you at all. My choices are just that, mine, and don't (and shouldn't) impact on yours.

This is the 2nd bit i have been thinking about, and i think the mistake is thinking that assumed consent and implied consent are the same thing. Assumed consent is where the hcp chooses to believes that consent has been or would be given, whereas implied consent can be the 'patient' implying consent without directly stating it e.g. by holding out their arm for a blood test. A 'patient' can state their consent or imply their consent but can't assume their consent- it the other person who assumes.

Pretending there isn't a problem doesn't make it go away. Just because there are some people who don't have problems with the HCS doesn't mean there isn't problems. If I had my last birth first I might feel there isn't a problem. I don't think those that are fighting for a better system are destroying it for those that approve of the current one. Whereas doing nothing about the problems that do exist isn't helping anyone. We are human. The product of evolution and change. Without changes we'd still be using mercury as a cure for headaches. Medicine is a science, one that is always improving. I don't see why it can't get better. Who exactly suffers if it does get better? I don't get it. And by saying needs to get better isn't saying that those who gave had good obs, or good hospital births are wrong. Not at all. I was one of those people but that doesn't mean I don't acknowledge those who haven't had the same. There is a misconception that there is zero tolerance for intervention, I don't believe that is the case. I believe there is a zero tolerance for unnecessary intervention. Or intervention that isn't necessary without choice. Thats how I see it.

I agree, why shouldn't we strive for better for all women. We should make all hcp accountable for their actions. One of the most concerning things for me when i was going through the hospital complaint process was that the hospital was not outraged that their staff were assaulting their patients. If i was told that my staff were not adhering to the principles of their profession and were assaulting clients, i would want to investigate whether this was true and wth had happened to get to that point. SImilarly, if i was one of the 'good' hcp s, i would want to help get rid of the dodgy ones, or pull them in to line so my profession is not hurt by their actions.

For me, it's not about the episiotomy, it's about the presumption that I didn't get a say in what happened to my body. I'm sure the OB thought it was all for the best. But that misses the point - it wasn't his decision to make.

Exactly.

[Arcadia]

The assumed/implied point has got me thinking...I will come back in the morning.