In Shaanxi Province, pregnant women died after falling from a building. The hospital three times recommended caesarean section, which was rejected by their families. How desperate a woman is to choose to go this way. Why does her husband watch her wife suffer such torture without signing the consent? Does not the woman have the right to sign the informed consent of the operation?
Director Ma said: 'the contents of informed consent include: current diagnosis, optional diagnosis, name of treatment scheme, corresponding advantages and disadvantages, possible complications and risks, etc. some special inspection and special treatment informed consent should also include inspection and treatment items, objectives, risks, complications and costs, etc. '
"For example, in the informed consent form for cesarean section, we will tell the pregnant woman what happened to her and the need for cesarean section, and then we will further explain the condition to the family members, and tell the family members what happened and what the risks of cesarean section are. What complications may occur to adults and children. Such as intraoperative hemorrhage, collateral injury, amniotic fluid embolism, neonatal asphyxia, birth injury, postoperative infection, wound delayed healing, intestinal obstruction, thrombosis and the risk of long-term pregnancy.
Because cesarean section requires blood preparation before operation, and some require blood matching before operation, family members should also fill in the informed consent form of blood transfusion. Family members should understand the related risks of blood transfusion, such as blood transfusion reaction, fever, infection, etc. '
'I read some news that some pregnant women have dystocia. The doctor will ask the husband whether to protect the adult or the child. Can the husband decide the life and death of the wife? Don't ask for the opinions of the parties?'
"It's not like that," Ma said. "In the informed consent, there are three signature columns: patients, family members and doctors. In law, the patient is the subject of the right of informed consent, which is the most important. Of course, if there are some critical situations, the parties cannot fulfill and express their awareness, they need the signature of the patient's family members.
According to the current law of medical practitioners and the standard of medical record writing, the holders of the right of informed consent include the patients themselves and their families. When the medical institutions and doctors perform the obligation of notification, they can choose the objects of notification according to the specific situation. Family members refer to family members other than themselves. They should decide whether their parents or guardians should exercise the right of informed consent according to the order of their spouses, parents and adult brothers and sisters, especially when dealing with dystocia, they should emphasize the joint decision of the maternal couple.
The signature of the doctor shall not only be signed by the attending doctor, but also by the superior doctor, and if necessary, by the chief of the Department. '
Xiao Wang asked: 'someone said that the informed consent is a deed of sale. If you agree or disagree, you have to follow the doctor's advice?'
'of course not. In the case of dystocia, the right to informed consent consists of the right to know and the right to consent. In other words, patients can refuse the doctor's treatment plan and suggestions.
In fact, in clinical practice, there are sometimes cases in which the family members resolutely do not follow the doctor's treatment plan. When signing the informed consent, patients or family members have the right to put forward reasonable requirements and explanations on the consent. Therefore, informed consent is not a deed of sale, but a consensus between doctors and patients to treat diseases together. '