Factors that Influence Caregivers’ Recommendations

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When making treatment recommendations, there are several factors that a physician, midwife, nurse, or hospital administration must take into account. From an expectant parent’s perspective, the only important factors in any pregnancy-related decision are: the health and well-being of the baby and of the mother. From a caregiver’s perspective, the well-being of baby and mother is the primary goal; however, other issues also come into play.

Occasionally, you may hear someone bad-mouthing a physician, saying that she recommended c-section because then she would make more money, or that he gave a mom Pitocin to speed up her birth so he could make his tee time at the golf course. My intention here is not to criticize any caregiver by what I write. Yes, in any professional field, there could be a few bad apples, who would prioritize their golf game. However, I believe those caregivers to be rare, and I believe that most caregivers do their absolute best to weigh all the factors, and make the decision they truly believe to be best for all involved.

That said, I think it’s vital to explore what factors they are weighing, and exactly who “all involved” parties are. Having an understanding of this can help expectant parents to make truly informed decisions.

 

Malpractice Insurance

Obstetricians have seen massive increases in the costs of malpractice insurance in recent years. For example, in Oregon, between 1999 and 2003, annual premiums increased from $21,895 to $61,203. Florida has the highest rates in the country: $158,000 per physician per year. Some obstetricians report that they are paying more for insurance than they make in a year. This expense is driving many obstetricians to quit practicing, or retire earlier than planned. Seven New York counties have no ob-gyns practicing obstetrics, and in 40% of New York’s counties, there are fewer than five obstetricians practicing. In Oregon, where 25% of obstetricians have quit delivering babies since 1999, 48% cited insurance costs, and 41% said they feared lawsuits. One physician said he now practices ‘defensive medicine.’ “If you think of a test, you order it… you have to.”

 

Liability / Fear of Lawsuits

Obstetricians have particular reason to fear malpractice suits. 77 percent of obstetricians have been sued, and the typical OB-GYN can expect to be sued 2.5 times during his career. The median award for medical negligence in childbirth cases was $2.1 million in 2001. 1 Clearly, there are cases of medical negligence, and there are children and families who will suffer because of an error by a physician (and, ironically, it’s estimated that 83 – 97% of patients who do suffer injury due to negligence never file a lawsuit). 2 However, also clearly, there are numerous frivolous lawsuits each year; there are also attorneys who aggressively pursue parents of handicapped infants to encourage them to sue, whether or not the physician was at fault: as many as 80% of malpractice claims are found to be without merit, but it takes an average of $25,000 and three years to defend each of those claims. 3

Obviously, this creates a climate of fear and antagonism which can effect a physician’s care recommendations. ACOG surveys have suggested that "fear of lawsuit" is the major rationale for many obstetrical procedures. 4 A 2002 Harris survey of physicians found that because of fear of liability: 79% order unnecessary tests, 74% make unnecessary referrals, 51% suggest unnecessary biopsies, and 41% say they prescribe unnecessary antibiotics. 76% say their concerns about litigation have hurt their ability to provide quality patient care.

An example of this situation: Electronic fetal heart rate monitoring is used in over 75% of deliveries in the U.S., not only for accurate readings, but for proof in liability cases. 5 Despite the fact that “monitoring has false-positive rates as high as 99.8% and even experienced obstetricians disagree widely when interpreting the same strip. The routine use of fetal heart rate monitoring does not prevent cerebral palsy. But it does result in a forty percent increased in cesarean sections…” So why is it used?  “Fear of litigation. For, as hard as it is to defend a decision based on a fetal heart rate monitor, it’s even harder to justify not using a monitor.” 6 Therefore, many caregivers use continuous fetal monitoring, which can itself have a negative impact on the birth process. And then when the monitor shows a mildly disturbing heart rate, a physician can’t adopt a ‘wait and see’ attitude, but must pursue interventions such as cesarean birth to prove that they responded to the possibility of harm, even though they are aware that the baby is probably fine. 7

To learn more, read “Improving Health Care Quality and Lowering Costs by Fixing Our Medical Liability System” by the Department of Health and Human Services.

 

Hospital Policy / Legal Priorities

Just as malpractice insurance costs and litigation concerns affect individual physicians, they also affect hospital policies and procedures. Also, insurance reimbursement is a huge issue for hospitals, and that affects their policies. Consumer demand also plays a role. Policies such as routine fetal monitoring, no food in labor, mandatory antibiotics for Group B Strep, and shortened postpartum hospital stays have their roots in many issues beyond simply what is best for the health of mom and baby. Once a policy is established, all caregivers at the hospital must follow that policy, and must base their recommendations on what is allowed at the facility where the birth will take place.

There are times when a physician disagrees with a hospital policy, but must follow it in order to retain privileges at the hospital. There are times when legal requirements may go against a physician’s best medical judgment, yet, he is required to follow the law. Within the AMA Principles of Ethics, physicians are told to respect the law, but also then to become advocates for their patients and “recognize a responsibility to seek changes in those requirements which are contrary to the best interests of the patient.”

 

Ethical issues

Obstetrical caregivers often confront ethical dilemmas that they must resolve internally in order to make a care recommendation. For most caregivers, they eventually determine their own set of guiding principles for most situations that could arise. Sometimes there is no clear “right answer”, and different caregivers might give different recommendations for the exact same situation.

Sometimes the ethical dilemmas become overwhelming. I knew a caregiver who was working in neonatal intensive care, and eventually had to leave the field, because as she said “we can save the lives of virtually any baby these days. But some of these babies will have huge, on-going health challenges the rest of their lives, which will cause the whole family to struggle along. And I just don’t know what the right answer is in those cases.” Here’s an interesting article that shows all the sides of this ethical dilemma.

 

Caregiver’s Convenience:

Caregivers are all human beings, who, like all of us, have a desire to spend time with their families, get together with friends, fit in a workout routine, and enjoy an occasional vacation. Everyone who enters the profession of obstetrics, midwifery, or doula work, has to accept the fact that labor and birth are inherently unpredictable. They acknowledge that their professional obligations will occasionally interfere with other obligations: for example, when a client goes into labor three weeks early with a long and complicated labor… on your child’s birthday. These conflicts are part of the job, and you often have no choice in the matter.

However, there are times when there are choices to be made. And when the caregiver is weighing all the factors that go into the decision, they can’t help but take into account their own needs. For example, if, based on all available information, a physician believes an induction will be medically necessary sometime in the next three or four days, but that it doesn’t seem to make a medical difference whether it is on Friday or Saturday, most physicians would choose Thursday night or Friday, in hopes of spending the weekend with their kids.

It’s clear that this pattern does happen. “Data from the Centers for Disease Control (CDC) show induction of labor in the United States doubled from 10 percent to 20 percent of all births [in] the past 10 years. The same CDC data also show an increasing trend throughout the last decade for more births Monday through Friday.” http://www.mother-care.ca/critique.htm

Is inducing on Friday justifiable and ethical if a physician truly believes that induction is medically necessary, and that all other factors are equal, and that inducing on Friday instead of Saturday will do no harm? Yes. Is it ethical for a physician to recommend a Friday induction if it is only for his/her convenience and not medically indicated? Probably not. Research shows that there are significant risks associated with purely elective inductions, and many people question the ethics of convenience inductions. Do parents have a right to question a doctor’s recommendation to understand whether convenience was a factor in making that decision? Yes.

 

From Here Down is Rough Draft

Caregiver’s Lack of Knowledge

A conscientious physician makes every effort to constantly expand their knowledge base, and stay informed of all the information relevant to their practice. Unfortunately, the vast quantity of information they are

Lack of training. Sometimes a physician lacks knowledge because their medical training did not cover some vital topics. Dr. Andrew Weil reports that in his entire time at medical school, he received thirty minutes of training in nutrition. Many practicing pediatricians have little to no training in breastfeeding support. Some may have received just enough training to feel like they know what they need to know, and may be over-confident in the accuracy of the information they are giving.

Their self-confidence was inappropriately high, with 49% of the total sample describing themselves as "confident" or "very confident" to manage common breast-feeding problems. Female residents had a higher confidence level than male residents. Although high in self-confidence about breast-feeding, the residents in this study were not knowledgeable about breast-feeding management, answering only 38% of the questions correctly. This study showed that residents in obstetrics do not have the basic skills, even at the end of training, to help mothers successfully maintain breast-feeding. Key promotional interventions linked to obstetricians' attitudes and practices have been shown to influence infant feeding choices.13 Thus, this study suggests the confidence and attitudes of obstetric residents toward breast-feeding are based on superficial knowledge of breast-feeding 8 Regarding preparation for breast-feeding counseling, more than 50% of all practicing physicians rated their residency training as inadequate. 9 only 64% of practitioners and 52% of residents knew that supplementing during the first few weeks of life may cause breast- feeding failure. 10

The American Academy of Pediatrics (1997) recommends exclusive breastfeeding for approximately the first six months of life and continuing beyond one year, with the introduction of other foods at about six months.

In a recent study by Schanler and his associates (1999), a survey of 1137 active fellows of the American Academy of Pediatrics revealed only 65 percent recommended exclusive breastfeeding for the first month of life, and only 37 percent recommended breastfeeding for one year. The majority of these physicians had not attended a presentation on breastfeeding management in the previous three years, but 77 percent said they were fairly confident in their ability to manage common breastfeeding problems. 11

Finding a doctor who will support you with breastfeeding.

Patients access to medical information. Patients now routinely arrive at doctors with stacks of printouts from the web. …”knew more about that topic than his primary care physicians did (and perhaps some [specialists] as well)." Even as the Internet allows patients access to information previously only available through their doctors, patients still trust the information they get from their doctors more than they do from Web sites, current surveys suggest. Because of this, doctors may fill the role of advisers or consultants, helping patients not only sort through the information that is available, but make rational decisions based on that information. 12

List of resources for you to inform your doctor of where they can get more basic information on breastfeeding and how physicians can support it.

Information Overload.The information environment faced by physicians has undergone a radical transformation over the past decade, with the emergence of profiling, guidelines, online information systems, and many other novel sources of information… The study shows that the current environment is rich with diversity, yet highly chaotic. There is more information available, in more formats than ever before, competing for the limited time that physicians have to keep abreast of changes in the medical world. The electronic information age is slowly transforming this landscape, but has not yet delivered tools that can reliably and sensibly alleviate the information overload faced by many physicians…. Consequently, it appears that much of the information being distributed is not being fully absorbed by physicians….To capture the attention of physicians effectively without using payment as leverage, information must be timely, relevant, authoritative, and easily accessible. Physicians are more likely to act on information if there is a monetary incentive involved, and to screen out information from questionable sources, highly complex data, and voluntary guidelines. Link

 

 

Caregiver’s Beliefs

Public Health

In the case of childhood immunizations, their benefit it not just for the child receiving the shot, but also for the community at large.

However, there is controversy and debate over which illnesses we most need to protect our children and our communities from, and at what age they should be immunized for various illnesses. Hepatitis B is an especially curious case. Hepatitis B is a blood-borne illness, primarily transmitted by sexual intercourse, and IV drug use. It is generally not an illness that children are at risk of contracting (unless their mothers have it). So, why do we immunize babies for Hepatitis B? Because high-risk groups like IV drug abusers don’t tend to come to clinics for voluntary vaccinations, but parents of babies tend to take the responsibility for bringing their baby in for the recommended immunizations."Infants are considered the easiest to immunize, said Dr. Walter Ornestein, directory of the National Immunization Program at the C.D.C." [Lining Up for Hepatitis Shots, NY Times, July 30, 1997.]

Money

 

For a look at how all these issues can play out in health recommendations, check out a fascinating article that looks at Immunizations: Vaccine FAQ

 

Ten Questions to Ask

 

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