Abstract
In this article, we discuss decision making during labor and delivery, specifically focusing on decision making around offering women a trial of labor after cesarean section (TOLAC). Many have discussed how humans are notoriously bad at assessing risks and how we often distort the nature of various risks surrounding childbirth. We will build on this discussion by showing that physicians make decisions around TOLAC not only based on distortions of risk, but also based on personal values (i.e. what level of risk are you comfortable with or what types of risks are you willing to take) rather than medical data (or at least medical data alone). As a result of this, we will further suggest that the party who is best epistemically situated to make decisions about TOLAC is the woman herself.
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References
American College of Obstetricians and Gynecologists. 1999. "Practice Bulletin no. 2: Vaginal Birth After Previous Cesarean Delivery." International Journal of Gynaecology and Obstetrics 64 (2): 201-208.
———. 2010a. ACOG Education Pamphlet on Vaginal Birth After Cesarean Delivery: Deciding on a Trial of Labor After Cesarean Delivery ACOG. http://www.acog.org/publications/patient_education/bp070.cfm.
———. 2010b. "Practice Bulletin 115: Vaginal Birth After Previous Cesarean Delivery." Obstetrics & Gynecology 116 (2): 450-463.
Armstrong, Elizabeth M. 2003. Conceiving Risk, Bearing Responsibility: Fetal Alcohol Syndrome and the Diagnosis of Moral Disorder. Baltimore: The Johns Hopkins University Press.
Block, Jennifer. 2007. Pushed: The Painful Truth about Childbirth and Modern Maternity Care. Cambridge, MA: DaCapo Press.
Cunningham, FG, S. Bangdiwala, SS Brown, TM Dean, M. Frederiksen, Hogue CJ Rowland, T. King, et al. 2010. "National Institutes of Health Consensus Development Conference Statement: Vaginal Birth After Cesarean: New Insights, March 8-10." Obstetrics & Gynecology 115 (6): 1279-1295.
Davis-Floyd, Robbie E. 1992. Birth as an American Rite of Passage. Berkeley, CA: University of California Press.
Gavaghan, C. 2009. "You can't Handle the Truth: Medical Paternalism and Prenatal Alcohol." Journal of Medical Ethics 35 (5): 300-303.
Gigerenzer, Gerd. 2003. Calculated Risk: How to Know when Numbers Deceive You. New York: Simon & Schuster.
Goer, Henci. 1995. Obstetric Myths versus Research Realities: A Guide to the Medical Literature. Westport, Connecticut: Bergin & Garvey.
Harding, Sandra. 2004. "Introduction." In The Feminist Standpoint Theory Reader: Intellectual & Political Controversies, edited by Sandra Harding, 1-15. New York: Routledge.
———. 2006. Science and Social Inequality: Feminist and Postcolonial Issues. Urbana, IL: University of Illinois Press.
Harms, Roger W. "How Many C-Sections can a Woman Safely have?" Mayo Clinic. Accessed January 15, 2014. www.mayoclinic/health/c-sections/AN02070.
Holbrook, Bradley D. and Sharon T. Phelan. 2013. "Umbilical Cord Prolapse." Obstetrical and Gynecological Clinics of North America 40:1-14.
Kukla, Rebecca. 2005. Mass Hysteria: Medicine, Culture, and Mothers' Bodies. Explorations in Bioethics and the Medical Humanities. Lanham, Md.: Rowman & Littlefield.
Longino, Helen E. and Ruth Doell. 1996. "Body, Bias, and Behavior: A Comparative Analysis of Reasoning in Two Areas of Biological Science." In Feminism & Science, edited by Evelyn Fox Keller and Helen E. Longino, 73-90. New York: Oxford University Press.
Lyerly, Anne Drapkin. 2013. A Good Birth: Finding the Positive and Profound in Your Childbirth Experience. New York: Avery Publishing.
Lyerly, Anne Drapkin, Lisa M. Mitchell, Elizabeth Mitchell Armstrong, Lisa H. Harris, Rebecca Kukla, Miriam Kupperman, and Margaret Olivia Little. 2009. "Risk and the Pregnant Body." Hastings Center Report 39 (6): 34-42.
Medina, Jose. 2012. Epistemologies of Resistance: Gender and Racial Oppression, Epistemic Injustice, and Resistant Imaginations. Studies in Feminist Philosophy. London and New York: Oxford University Press.
NIH Consensus Statement Online. 1980. Cesarean Childbirth: National Institutes of Health.
Paltrow, Lynn. 2013. "Roe V Wade and the New Jane Crow: Reproductive Rights in the Age of Mass Incarceration." American Journal of Public Health 103 (1): 17-21.
Scully, Diana. 1994. Men Who Control Women's Health: The Miseducation of Obstetrician-Gynecologists. New York: Teachers College Press.
Seigel, Marika. 2014. The Rhetoric of Pregnancy. Chicago: The University of Chicago Press.
Tulloch, John and Deborah Lupton. 2003. Risk and Everyday Life. London, GBR: SAGE Publications Ltd. (UK).
Wagner, Marsden, MD, MS. 2006. Born in the USA: How a Broken Maternity System must be Fixed to Put Women and Children First. Berkeley, CA: University of California Press.
Wertz, Richard W. and Dorothy C. Wertz. 1977. Lying-in: A History of Childbirth in America. New York: The Free Press.
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Charles, S., Wolf, A.B. Whose Values? Whose Risk? Exploring Decision Making About Trial of Labor After Cesarean. J Med Humanit 39, 151–164 (2018). https://doi.org/10.1007/s10912-016-9410-8
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DOI: https://doi.org/10.1007/s10912-016-9410-8