Examining “shared decision making"... because the decision is not actually shared.



Hi Reader,

A reader over on social media referenced "shared decision making" and I bristled just a bit because while this phrase is commonly used, the decision is not actually shared.

Providers share information: options, risks, and benefits.

Providers share recommendations.

But providers do not share in the decision.

The decision is the birthing person’s. The language we use needs to reflect that.

How can women and birthing birthing people really feel the power and responsibility of their decision if we claim the decision is shared?

How can providers release their fear of litigation if we can claim the decision is shared?

There is so much wrapped up in this concept.

We need to disentangle it and be very clear about who makes the decision, who holds the responsibility, and who does not.

That's one of the many facets of VBAC that we explore in VBAC Facts® professional membership as well as "The Truth About VBAC™ for Families."

We dive into the intricacies of informed consent, refusal, coercion, and liability so parents, and professionals, understand the line between where the provider's responsibility ends and the parent's begins.

With that genuine shift in power, we can fully realize the truth: That the birthing person makes medical decisions and that the provider cannot be held liable for those decisions.

Learn more with us!

In solidarity,

Jen Kamel
VBAC Facts® Founder

PS: Other ways to work with me and increase VBAC access:

  • Have a list of questions? Something you want to talk through? Schedule a consulting call. I work with parents, professionals, advocates working on legislation, as well as legal cases regarding VBAC.
  • Want to improve the VBAC education in your community or at your facility? Book me for an in-person training! I only have three spots available for 2023 and am speaking to multiple groups.
  • Want to address racial disparities in maternity care and VBAC access? Support our BIPOC Scholarship Fund which makes our trainings and courses more accessible to BIPOC communities.


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