Physician Form:
Patient Safety
and Consent
You have a right to know all of your
options and any
other information that might affect your decision,
but if you don't ask for this information
you may forfeit that right. Here
are some
important questions you may want to
discuss before you sign a
doctor's consent form.
1. Will it
hurt?
2. What options and supportive services are available to me if I
choose not to abort?
3. What is the fetus like right now? What can
it do? What can it feel?
4. What are the chances that I will experience any
of the following problems:
|
Physical
___ Retained Fetal Body Parts
___ Damage to the Cervix
___
Hemorrhage
___ Infection
___ Perforated Uterus
___ Sterility
___
Complications for Future Pregnancies |
Psychological
___ Depression
___ Anniversary Syndrome
___ Feelings of
'Craziness'
___ Sexual Dysfunction
___ Suicidal Thoughts
___
Interference with Personal Relationships |
5. Will you treat me for
complications?
6. If I need to be hospitalized, at which hospital do you
have privileges?
If you decide to have an abortion,
you'll
want a permanent record of what the doctor told you.
Print this
checklist and take it to your appointment and then store it in a safe place.
Some
of the effects associated with abortion may not show up for several years.
If
anything does happen to you during or after your abortion
you will have
evidence of what the doctor had told you. |
|