The Defending Ourselves Against Defensive Medicine series, which ran in early 2011, is collection of articles from diverse stakeholders curated by Jill Arnold on TheUnnecesarean.com. The now defunct blog's unyielding stance on how openly citing fear of being sued as the reason for altering a healthy patient's course of care to include unnecessary major abdominal surgery is in itself an admission of malpractice is documented in the 2018 book, Cesarean Section: An American History of Risk, Technology and Consequences by Dr. Jackie Wolf.
In this introduction to the DOADM series, Jill Arnold, founder of The Unnecesarean, asks whether it’s ethical to brush off defensive medicine in obstetrics as merely an unfortunate and costly dilemma.
Sociologist Louise Marie Roth shares her research, which challenges the claim that the number of obstetric malpractice lawsuits has caused the rise in the cesarean rate in the United States.
Courtroom Mama, a contributor to The Unnecesarean, offers an introduction to medical malpractice for the non-attorney.
An anonymous OB-GYN describes the lawsuit that changed everything.
Lee Tilson, who has litigated medical malpractice cases for decades and was drafted into the patient safety movement by medical errors that adversely affected two family members, shares his views on cesarean sections.
Sociologist Barbara Katz-Rothman looks critically at malpractice insurance, pregnancy, risk and the U.S. health care system.
National Advocates for Pregnant Women ask whether recent debates about so-called “personhood” measures—ones that would legally separate eggs, embryos and fetuses from the pregnant women who carry, nurture, and sustain them—raise the question of whether “defensive medicine” provides a reasonable justification for forcing pregnant women to undergo cesarean surgery or for locking them up if they refuse.
OB-GYN Henry Dorn examines the role of technology and public opinion of modern obstetrics.
Emjaybee, a contributor to The Unnecesarean, gets real about her experience with defensive medicine in maternity care from the perspective of a patient.
Non-partisan, consumer advocacy organization Texas Watch analyzes the effects of Proposition 12.
President of the International Cesarean Awareness Network (ICAN) Desirre Andrews reflects on the organization’s concern for the effects of a defensive practice style.
ANaturalAdvocate, a contributor to The Unnecesarean and almost-lawyer, tells how her son’s iatrogenic prematurity stemming from an induction at 37 weeks for suspected macrosomia affected her and her choices for future births.
Amy Tuteur proposes that while defensive medicine appears to be about protecting doctors from liability, it’s really about protecting patients from any and all risk.
Two well-known patient advocates, Trisha Torrey and Dave deBronkart, share their thoughts on how to defend oneself from defensive medicine.
Jill Arnold and Henry Dorn explore how to build trust in the patient-provider relationship in the final post of the Defending Ourselves against Defensive Medicine series.
A 2012 follow-up article: