The Agency for Health Care Research and Quality (a group of which I am a fan) has released Spanish language guides for patients. I am happy about this for a few reasons. Selfishly, I need to learn more Spanish, especially medical Spanish. I am hoping I can read over these guides and learn how to discuss these conditions more effectively. Of course, that doesn’t help me when a patient asks me a question outside my very limited scope of Spanish proficiency. But, it’s a start.
I was also happy because I thought these guides could be a good resource for the attending physicians at my rotation site. For example, one is A guide to breast biopsies (PDF) (non PDF versions are available at the first link). I just finished a surgery rotation with a team of surgeons who do a lot of breast biopsies, many of which are on women who only speak Spanish. However, it’s 12 pages long. I think it may be nice to put a copy out in the waiting room instead of a magazine, but it is too long to pass out to all the patients.
I haven’t read them, and my understanding of Spanish isn’t great, so I may not be able to offer a decent critique of their quality. However, this quote from the induction of labor guide troubled me:
Las investigaciones no determinan si la probabilidad de que una mujer tenga una cesárea es diferente si ella elije la inducción en lugar de esperar a que el parto comience espontáneamente.
Unless I am mistaken, it says studies have not determined whether the probability of having a cesarean is higher if one has an induction, rather than a spontaneous labor. That has been researched, and the ACOG Practice Bulletin #107 states that there is a twofold risk of cesarean in a nulliparous (first time birthing) patient than one who has a spontaneous delivery. Also, the chance of vaginal delivery with induction is strongly association with the patient’s Bishop’s score. A Bishop score is easy for a health care practitioner to determine in an office visit, and is not that difficult to explain, at least in general terms, to a pregnant person. I am disappointed in how few people who are induced even know what the Bishop score is, or what theirs was. Of course, if it is a medically indicated induction, it will most likely be attempted even with a low Bishop’s score. But, it is an elective induction, and the pregnancy is only 39 weeks gestation, and the Bishop’s score is low, especially in a nulliparous mom, an induction is very likely to be protracted, and end in a cesarean.
(Hat tip Women’s Health News, Catching Up Edition, which, ironically, I was catching up on)