Date of Award
Master of Arts in Liberal Studies (MALS)
A significant number of American women receive clinical birthing-option advice from obstetrician-gynecologists ("ob-gyns") that is based at least in part on non-medical considerations, without being informed of the non-medical bases that influence the recommendations they receive. The first premise of this paper is that the provision of medical advice in this manner constitutes a human-rights violation under both international and American human-rights norms. The second premise of this paper is that these violations may be averted or alleviated by greater transparency in American medical-services provision, particularly with reference to establishment of clinical practice standards by the American College of Obstetricians and Gynecologists (hereinafter "ACOG"), and by increasing ob-gyn accountability via litigation.
These premises are examined first generally, and then with particular regard to the formalized but non-governmental facilitation and encouragement of delivery of fetuses by cesarean section -- a surgical procedure - via restriction of the availability of medical services in support of vaginal birth by women who have previously delivered by c-section ("VBAC," or vaginal birth after cesarean).
Chalidze, Lisa, "Misinformed Consent: Non-Medical Bases for American Birth Recommendations as a Human-Rights Issue" (2008). MALS Final Projects, 1995-2019. 54.