Opinion | Dr. Jane van Dis and Dr. Esther Choo: Kentucky abortion law affirmed by the Supreme Court disguises coercion as 'informed consent.' - NBCNewsTHINK
Patients who present for an abortion are not coming in for a mystery procedure — nor is it a particularly enjoyable one — meaning that typically, walking in the door is intentional and requires an unusual level of thought and conviction, compared to other ambulatory procedures, like getting an ablation for heavy uterine bleeding, or a diagnostic scope of the uterus and cervix.
Patients seeking pregnancy termination currently receive standard informed consent — for example, one samplefor abortion includes a litany of medical risks including hemorrhage, infection, sterility, injury to bowel/bladder and death, uses the term “death of the fetus” three times and requires that the patient sign next to the statement: “I understand that [the doctor] is going to perform an abortion on me, which will end my pregnancy and will result in the death of the fetus.
True informed consent puts the patient at the center of medical decision making, not the physician or the state or any other organization or institution. Overall, this procedure is not chosen or performed without a full and clear discussion of what it entails. If seeing an ultrasound or hearing a heartbeat is helpful to an individual patient, they have every right to it. However, requiring it sends a clear and unidirectional message. Placing physicians in the position of providing language, and showing pictures, which are designed by legislators to be coercive, undermines the fundamental trust between physician and patient.
Women present for termination of pregnancy for many reasons. What they expect from their physician is unbiased, medically accurate information. Women deserve to be treated with dignity. Assumptions about their inability to make complex informed decisions about their body independently is, fundamentally, misogyny.
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