3 Comments
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The AI Architect's avatar

Strong analysis of how institutional biases become self-reinforcing. The workflow failure point is spot on - birth plans reviewed during active labor creates the exact conflicts staff then blame patients for. What stood out is how the thread contains its own counter-evidence with the husband stich example yet the dominat narrative still blames patients. This cognitive dissonance is common in high-stakes environments where acknowledging systemic issues feels threatening.

Amos Grünebaum, MD's avatar

One solution is to feed/attach a birth plan, even a hand written one to an LLM and ask it to provide an answer for the patient, plus a work flow for the staff.

Amen Ness's avatar

Once a patient is in opposition to the system of care at the hospital there is an inner emotional and psychological impediment to the normal process of labor. As many midwives know and they support is the inner approach to childbirth. Trauma and fear can interfere with the normal labor process. Many women who have birth plans at hospitals have had little or no preparation for childbirth but are following what they have heard from friends, family, the internet etc