01/13/2020
This is especially common with twin's placenta/s. What information will they obtain by sending your placenta to pathology? Ask the questions and you decide.
*Placentas sent to pathology are no longer safe for consumption.
If the medical staff strongly insists (such as in the case of a complicated birth, a twin birth, or a premature birth) that your placenta be sent to pathology, you have the right to be fully informed as to the reasons for their recommendation.[1] It is their legal responsibility to inform you of why they are recommending this specific procedure and to answer as many questions as you have about their recommendation.
Questions You Could Include:
āWill the medical knowledge obtained potentially change the recommended care for this child?ā
or
āWould a piece of the placenta being sent to pathology suffice rather than sending the whole organ?ā
or
āWould the medical information desired be able to be obtained by an in-room visual examination or blood test rather than sending the placenta to pathology?ā
Again, you have a right to a full explanation of the procedures being recommended and the right to have all of your questions answered to your satisfaction. You are not required to engage in a medical debate as to whether your desires for placental consumption are more important than the reasons the hospital is citing for examination.
You do not need to convince the medical staff of your decision, or even share with them what you intend to do with the placenta. Many mothers simply say that they have āa profoundly-held cultural or religious custom of taking their placenta home with them.ā
If the hospital insists on taking your placenta and, after receiving a full explanation on their recommendation, you choose not to accept that procedure, you have (as of this printing) legal rights to āinformed refusal.ā[2]
You have the right to change your mind to refuse the recommended placental examination, even if you already signed a form agreeing to release your placenta. You have the right to receive a copy of your medical records in order to get a second opinion and to keep your placenta with you while you do so.
The bottom line isāyou have the right to individualized care that is respectful of your culture, choices, and values.[3]
[1] See Oācathain, A, Thomas, K, Walters, Sj, Nicholl, J & Kirkham, M. āWomenās Perceptions of Informed Choice in Maternity Careā, I, Vol. 18, 2002 pp. 136-144.
[2] See Goldberg, H. āInformed Decision Making in Maternity Careā, Journal of Perinatal Education, Vol. 18, No. 1, 2008 pp 32-40.
[3] Unless the issue is vaccinations. In many states Americans have lost the right to bodily autonomy and informed consent or refusal as of 2016.