Nurturing True Informed Consent
Informed consent stands as a cornerstone of respectful and compassionate care. As a doula, my role extends far beyond physical support during labour; it encompasses advocating for the autonomy and empowerment of birthing individuals. True informed consent, from my perspective, transcends a mere signature on a form—it embodies a profound understanding, respect, and partnership between the birthing person and their healthcare providers.
At its essence, informed consent means being educated, understanding the risks and benefits, having the time and space to consider options, and accessing evidence based information. It is not merely about being told that a procedure or intervention is necessary; rather, it involves engaging in meaningful dialogue, where information flows freely and decisions are made collaboratively.
Picture this: a birthing person is presented with a recommendation for a medical intervention without understanding why it's needed or what it entails. They might feel pressured or overwhelmed, lacking the clarity to make an informed choice. This scenario, unfortunately, is not uncommon in childbirth settings where time constraints and power differentials can inhibit open communication.
As a doula, I strive to create an environment where true informed consent thrives. Here's what it looks like:
Education: Knowledge is power. Before labour ensues, I encourage birthing individuals to educate themselves about the various stages of childbirth, common interventions, and alternative options. Whether through childbirth education classes, reputable online resources, or discussions with healthcare providers, understanding lays the foundation for informed decision-making.
Transparent Communication: Open dialogue is key. I advocate for birthing individuals to engage with their healthcare team, asking questions and expressing concerns without fear of judgment. It's essential that information regarding procedures, medications, and potential outcomes is conveyed clearly and comprehensively, ensuring that the birthing person feels empowered to make choices aligned with their values and preferences.
Time and Space: Rushed decisions seldom reflect informed consent. I emphasize the importance of taking the time to reflect, deliberate, and discuss options with loved ones and care providers. Whether considering pain management techniques, the necessity of interventions, or unexpected complications, the person who is about to give birth deserves the time and space to process information and make decisions at their own pace.
Access to Data: True informed consent hinges on access to accurate and unbiased information. As a doula, I support birthing individuals in seeking out evidence-based research, statistics, and testimonials to supplement their understanding. From the potential risks and benefits of medical interventions to the nuances of postpartum care, access to comprehensive data empowers informed decision-making.
In the realm of childbirth, informed consent is not a checkbox to be ticked—it's a journey of shared understanding, trust, and respect. By embracing education, transparent communication, time, and access to data, we can foster an environment where birthing individuals are empowered to navigate their unique childbirth experiences with confidence and autonomy.
As doulas, advocates, and allies, let us continue to champion the principles of true informed consent, ensuring that every birthing person feels seen, heard, and respected on their journey to parenthood.
Amy - Doula & Founder of The Collaborative Doula Collective