1. If I'm reading the law correctly, I can claim a religious/philosophical exemption to the Hep B vax, but only a religious exemption from the eye goop and Vit. K. Am I correct in that? I mean, I suppose my religious grounds is that I don't believe in unnecessarily risking the life of a baby, but I'm not sure if that counts.
2. If I can't refuse the silver nitrate, I would be more OK with erythromycin. Do I have the right to demand that?
3. When do they usually do the Hep B? I am concerned that in the rush of two babies being born, they'll sneak it in there and I will miss it. I don't even know if they do it in the hospital-- they did with my first, they didn't with my second and third, and my fourth was a homebirth.
4. I feel a little more ambiguous about the Vitamin K. If the babies have a rough birth and need interventions, I'm not opposed to the Vitamin K. But if it's just being given for the sake of being given, I have an issue with it.
I just want to do the best thing for babies. I don't object to giving them this stuff if there's a reason, but I do object to doing it just for the sake of doing it.
I don't think I am legally required to explain it to them, but I'd like to have my reasoning straight in my mind just in case it comes to that.
|Questions about newborn Vitamin K, silver nitrate, and Hep B|
none are required at birth and PA hosp do not take exemptions-there is no need, they could careless and have nothing to do with an exemption same goes in the ER
you can state it prior in a birth plan, have it also written and verbally tell who ever is working with the birth-OB, mid-wife, etc
the only "requirement" so to speak (and this depends on the hosp, not statewide) is antibiotics after the birth without a prior test for step (this is in some northeast hosp and the OB can't do anything about it if it wasn't done prior to admission with results)
you don't need to even have the baby washed after birth if you don't want it-
if you are not going to be with it after the birth have who ever is with you watch that nothing is given and that they are not removed without someone going with them
§ 27.98. Prophylactic treatment of newborns.
(a) Physicians and midwives attending women in childbirth shall instill in each eye of the newborn child, as soon as practicable after birth, either a 1% silver nitrate solution, or erythromycin ophthalmic ointment or solution as a single application in both conjunctival sacs, or appropriate medication approved by the Department.
(b) If the parent or guardian of the newborn child objects on the ground that the prophylactic treatment conflicts with the parent’s or guardian’s religious beliefs or practices, or if in the opinion of the attending physician treatment is not advisable, prophylactic treatment shall be withheld.
(c) An entry in the child’s hospital record indicating the reason for withholding treatment shall be made and signed by the attending physician and the parent or guardian.
As I said above, I am having a hard time pinning down the law on Vitamin K.
I told my OB prior NO to all and the hosp didn't bat an eye
This was in Allentown 2 years ago and I know plenty since who didn't have to do anything and didn't need to sign anything
I know several people that work at local hosp and even in the ER and they don't take exemptions.
I choose several weeks later to have it done at another hosp than the one I gave birth at and they saw what insurance we had and they ran (without a script!!) additional test---the total cost was $60.00- they billed our insurance over $500.00---They got insurance fraud charges and the state health dept complaints and paid a nice fine well over $500.00!!! all because we HAD insurance and they knew they could get away with it.
|Again, I am not talking about writing out and handing in an exemption, and I'm talking about birth and not the ER. I am talking about what the law (quoted above) says I'll need to do. I just want to be prepared and not count on the hospital ignoring the law. That's great that your hospital didn't give you any problems though.|
this can be put in a birth plan
how do you think you can give an exemption other than stating in writing or verbally that you do not consent?
if you can not speak for yourself after the birth, you should have someone act in the interest and not allow anything you do not consent to
my OB ASKED me what I wanted and what I didn't want done at the birth so there was no guessing this goes for how the birth was to go under all problems and even about not cutting the cord
a JV I know, recently had her knee done, she spoke with her Dr prior and said what she would and would not do--- the hosp didn't even question her religion just confirmed she objected to blood-products and didn't give her a hard time--they are use to it in other sections as well as in the OB section, they really don't care what your religion is of why you don't want something--just best to speak prior about your desires and in writing is always good too!
medical mistakes happen all the time- people just need to watch what is going on
I did have one client who refused all of the above and the doctor did go over the benefits of them for the sake of being thorough with them but he didn't give them a hard time about not getting them.
we opted to delay the e-mycin and the vitK - put in the birth plan that we are delaying all interventions except those medically necessary, until AFTER we have had time to bond with BABY. this includes: weight, measurements, footprints, vitK, eye ointment, bath, etc. ABSOLUTELY NO HEPB VACCINE IS TO BE GIVEN!
and then we also made sure we told every nurse that came in the room. our dr was well aware of our preferences and helped out (fortunately). we got hassled about hte hepb - every time they walked into the room they asked if we wanted it - but they didn't have any objection to delaying. my mom refused all for my lil sis and they did not give her any sort of hassle about any of it. she just said no.
hth a bit.....
Maria , wife to A , mama to DS M 8/09 and DS L 6/12
Everything will be ok in the end. If it's not ok, then it's not the end - Paolo Coelho
Have you checked with your OB/MW? They should know the accepted procedure for where you are delivering. It seems to vary across the state/hospital.
Proud Single Mama, Birth & Postpartum Doula
Student, Aspiring CNM
DD ~ 1/7/09 DS ~ 9/22/10
With my last birth, my OB had my birth plan in my chart and I was never asked about it again. I did not even have to sign a waiver or anything. This was a year ago.
Jen, mama to (M-13, N- 10, C- 8 J- 3.5, and J -2, A (10/4/07) and 3 early losses)
We are expecting baby #7 in November 2013
We wanted to refuse Hep B, DELAY eye goop, and do the Vit K (and not circ). Well Hep B and not circ'ing was totally easy because they had an additional consent form and we didn't consent (we were required to fill out all the paperwork prior to going into labor),
However they totally gave ds eye goop before I even got to hold him, (I had been in a birthing suite and they wouldn't have done it over there but I got transfered to regular L&D and they did it out of habit) but my midwife yelled/scolded them and felt really bad about it. DP and I were too out of it (50 hours of labor!) to stop it in the moment, that kinda sucked.