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Diabetes Discussion
Gestational Diabetes
To lie or not to lie?
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<blockquote data-quote="Gran25" data-source="post: 2118231" data-attributes="member: 489173"><p>Whew! What a **** time of it you are having... I would like to suggest a different approach as the current one seems to be causing you great distress. Ask your care providers how they would respond if you had strict dietary restrictions based on your religious beliefs.. how would they manage your care? Would they (a) continue to harp on "you must eat X/Y/Z for the sake of your baby" despite your religious beliefs against doing so or would they (b) compassionately sit down with respect and problem solve with you? The correct answer is (b) of course.</p><p></p><p>In all areas of health care the right of informed choice and informed refusal based on the autonomy of the adult individual /emancipated minor are both the philosophical and legal backbone of modern care, you don't lose that right while pregnant. (unless you are unfortunate to live in some less enlightened parts of the world) The actions you describe are contrary to the standard of care in the UK and are of more concern than what/how/when you eat. Bullying, harassment in person and by phone are not ok at any time.</p><p></p><p>I would suggest that you stay polite and calm, thank them for their advice and state that you have considered it carefully and wish to proceed as follows & then hand them your written care plan. (make several copies) Keep it simple, bullet points and with a short preamble that your own & your child's optimum health are your first priority. Bring an advocate to each visit and continue to expect competent, compassionate and evidence based care. If you continue to experience bullying, work your way up the administrative chain of command. Most hospitals have patient advocacy or ethics committees that may be able to help you.</p><p></p><p>I wish you the best of luck in resolving your issues. (BTW also a recently retired midwife)</p></blockquote><p></p>
[QUOTE="Gran25, post: 2118231, member: 489173"] Whew! What a **** time of it you are having... I would like to suggest a different approach as the current one seems to be causing you great distress. Ask your care providers how they would respond if you had strict dietary restrictions based on your religious beliefs.. how would they manage your care? Would they (a) continue to harp on "you must eat X/Y/Z for the sake of your baby" despite your religious beliefs against doing so or would they (b) compassionately sit down with respect and problem solve with you? The correct answer is (b) of course. In all areas of health care the right of informed choice and informed refusal based on the autonomy of the adult individual /emancipated minor are both the philosophical and legal backbone of modern care, you don't lose that right while pregnant. (unless you are unfortunate to live in some less enlightened parts of the world) The actions you describe are contrary to the standard of care in the UK and are of more concern than what/how/when you eat. Bullying, harassment in person and by phone are not ok at any time. I would suggest that you stay polite and calm, thank them for their advice and state that you have considered it carefully and wish to proceed as follows & then hand them your written care plan. (make several copies) Keep it simple, bullet points and with a short preamble that your own & your child's optimum health are your first priority. Bring an advocate to each visit and continue to expect competent, compassionate and evidence based care. If you continue to experience bullying, work your way up the administrative chain of command. Most hospitals have patient advocacy or ethics committees that may be able to help you. I wish you the best of luck in resolving your issues. (BTW also a recently retired midwife) [/QUOTE]
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