Showing posts with label OB/GYN. Show all posts
Showing posts with label OB/GYN. Show all posts

Friday, December 13, 2013

FLORIDA: Doctors charging "circumcision deposit" before sex is known

Some doctors are charging expectant parents a "circumcision deposit" long before they know the sex of their child, and even if the plan to leave a boy intact. This is unethical, and increases the risk of unwanted circumcisions.

What to expect
November 2010

From: MommyFeathers
Has anyone else had to do this? We recently moved and I chose a dr based on several great recommendations, but I called today and made an appt and was told that I have to pay $200 before my first appt for "possible circumcision"! First, I'm what, 7 weeks? no clue as to whether we're even having a boy or girl, and Second, even if we do have a boy he won't be circumcised. But when I tried to explain that, the receptionist told me that it didn't matter, everyone had to pay it and then they would refund the money after the birth...just sounds crazy to me...he better be as good a Dr as I've been told!

The Whole Network Facebook, December 11, 2013 Fan Question: I am pregnant with my second child and my regular OB (who delivered my daughter) started a new policy that forces patients to pay a "circ deposit" before their first prenatal visit. Apparently this is a growing trend among doctors. Whether or not you are having a boy or if you want to keep him intact you have to pay and if you don't use it the money will be refunded after you are discharged from the hospital. I tried fighting it but they told me it won't be done unless I sign a consent form at the hospital. Since it is a new policy I am worried that the staff at the hospital will see that I paid and do it anyway assuming I wanted it done. I just found out that I am having a boy so I need to decide what to do now. Even though they are promising that I will have a say in the end, it makes me really uncomfortable and I'm not sure how safe my son will really be. I am thinking about switching to a new OB over this but I have medicaid so my options are limited. Would it be worth switching over? I am also not sure how to find an intact friendly OB so i was wondering if you could help point me in the right direction. I didn't search for a doctor with my daughter because he was my regular GYN. I'm in Melbourne FL. There are no birthing centers around here.

Saturday, November 30, 2013

DALLAS: Ob/Gyns may now treat men - but could always cut boys

NY TImes
November 26, 2013

Gynecologists May Treat Men, Board Says in Switch

by Denise Grady
A professional group that certifies obstetrician-gynecologists reversed an earlier directive and said on Tuesday that its members were permitted to treat male patients for sexually transmitted infections and to screen men for anal cancer.

The statement from the American Board of Obstetrics and Gynecology eased restrictions announced in September, which said that gynecologists could lose their board certification if they treated men. Exceptions were made to allow certain procedures, ...

The ABOG website says:
In addition, to remain certified by ABOG the care of male patients is prohibited except in the following circumstances:
  • Active government service,
  • Evaluation of fertility,
  • Genetic counseling and testing of a couple,
  • Evaluation and management of sexually transmitted infections,
  • Administration of immunizations,
  • Management of transgender conditions,
  • Emergency, pandemic, humanitarian or disaster response care,
  • Family planning services, not to include vasectomy,
  • Newborn circumcision, and
  • Completion of ACGME-accredited training and certification in other specialties (see below). [Which raises the question, if not vasectomy, which protects women against pregnancy, why newborn circumcision? It looks as though the answer is "because it is there".]

... but screening men who were at high risk for anal cancer was not permitted, so the September decision left some gynecologists struggling to find colleagues in other specialties to treat their male patients and to track those who were enrolled in studies.

Like cervical cancer, anal cancer is usually caused by the human papillomavirus, or HPV, which is sexually transmitted. This type of cancer is rare, but its incidence is increasing, especially among men and women infected with H.I.V.

Experts in anal cancer asked the board to reconsider its position, and some started letter-writing campaigns. Patient advocacy groups expressed worry that the prohibition would interfere with research and make it harder for male patients to find screening and treatment.

The board had said it wanted to protect the profession as a female specialty and limit the nongynecological work performed by its members. But Dr. Kenneth L. Noller, the board’s director of evaluation, said board members had reconsidered and realized that gynecologists had a long tradition of treating sexually transmitted infections in both men and women, and that HPV and problems related to the virus fell into that category.
...

Thursday, May 9, 2013

NEW ORLEANS: Intact America confronts Ob/Gyns at their conference

Intact America
May 4, 2013

Intact America Pickets Ob/Gyn Conference


Intact America's mobile banner at the ACOG conference, 2013
Intact America's mobile banner at the ACOG conference

Genital autonomy activists have gathered in New Orleans to call on the American Congress of Obstetricians and Gynecologists (ACOG) to join the global medical community’s movement away from neonatal male circumcision.

Intact America held a press conference, placed an advertisement in the New Orleans Times-Picayune and used a mobile billboard, saying “Tell America’s Obstetricians – No More Circumcision.” The sign includes the message “His Body, His Rights” to underscore the organization’s human rights concerns. Approximately 70 activists were expected to take part in the demonstration, displaying banners, carrying placards, and handing out literature

Executive director Georganne Chapin said, "The leaders of ACOG apparently do not think their members – who, according to estimates, perform at least half of the one million circumcisions in the United States on unconsenting baby boys each year – should hear the arguments that have led medical authorities across the developed world to reject the surgery as unnecessary, inherently risky, and a violation of baby boys’ right to an intact body."

The ACOG rejected IA's application to rent space for an educational booth in the convention’s exhibition hall, saying male circumcision “is only indirectly related to women’s health and of only casual interest to members of ACOG.” So Chapin decided Intact America should communicate with ACOG directly.

“It is both sad and disingenuous that ACOG claims circumcision is of no interest to the very doctors who perform the surgery hundreds of thousands of times each year,” Chapin said. “It is also not surprising they have embraced the widely-discredited 2012 circumcision policy statement of the American Academy of Pediatrics (AAP)." That policy "lauded the benefits of circumcising infants, while admitting that evidence for such benefits is lacking, acknowledging that the risks have never been adequately studied, and ignoring the ethical problems inherent in permanently removing normal genital tissue from individuals who cannot consent.”

The AAP’s policy was endorsed by ACOG. In contrast, IA endorses the view of 38 international pediatricians, urologists and medical ethicists, whose response to the AAP is published in the its own journal, Pediatrics

“There is growing consensus… that physicians should discourage parents from circumcising their healthy infant boys,” the physicians say, “because non-therapeutic circumcision of underage boys in Western societies has no compelling health benefits, causes postoperative pain, can have serious long-term consequences, constitutes a violation of the United Nations’ Declaration of the Rights of the Child, and conflicts with the Hippocratic oath: primum non nocere: First, do no harm.”

“Intact America’s intent for this demonstration in New Orleans,” said Chapin, “is to make sure ACOG hears and understands the ethical quagmire they have put themselves into.”