For some, childbirth is one of the most wonderful and helpful experiences of their life. For others, however, childbirth is considered harrowing and traumatic. Often a negative experience with childbirth can be attributed to the attending medical staff, for example performing situationally unnecessary medical interventions such as routine episiotomies. An episiotomy is a surgical incision made in the perineal area and posterior vaginal wall during childbirth to speed up delivery. An article published by Kaiser Health News, shared by National Public Radio and written by Jocelyn Wiener, titled “Episiotomies are still common during childbirth despite advice to do less,” explores this issue. The article first discusses the recent and ongoing case of Kimberly Turbin. , an American mother who sued the midwife who delivered her baby for assault and battery. During Turbin's delivery, the obstetrician ignored her repeated refusal to perform an episiotomy and performed the procedure anyway. The article goes on to discuss how episiotomies are routinely performed despite substantial, growing, and increasingly available evidence that they are rarely necessary and rarely beneficial. This article will explore the violations in the case of Kimberly Turbin and the practice of routine episiotomies based on articles included in the American Association of Medical Assistants Code of Ethics. In the recent case of Kimberly Turbin, Article I of the AAMA Code of Ethics, Human Dignity, is blatantly violated. Despite persistent and urgent refusal of an episiotomy during childbirth, now publicized in a viral Internet video, Turbin's obstetrician performed one anyway. This flagrant violation of... half the document... endless routine episiotomies and, by extension, their profession's knowledge and skills in that area and overall benefit, especially themselves, patients and colleagues professionals. It bears repeating: For some, childbirth is a positive, life-changing experience. For others, like Kimberly Turbin, it's also a life-changing experience, for all the wrong reasons. This is due in part to the practice of routine, unnecessary and often psychologically traumatic episiotomies. Childbirth should never be a harrowing or traumatic experience, if possible, and it is possible to reduce rates of routine episiotomies. While these rates are currently declining, the goal is “less than 10%.” Awareness needs to be spread, stories need to be heard, cases need to be tried, and routine episiotomies, a clear breach of ethics on more than one scale, need to end.
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