ObGyn Intelligence

ObGyn Intelligence

When Doctors Decide What Patients Shouldn’t Hear: The Persistence of Patronizing Care in ObGyn

The Responsibility Clause - Is it ethical withholding risk information in obstetrice

Amos Grünebaum, MD's avatar
Amos Grünebaum, MD
Nov 02, 2025
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The Persistence of Patronizing Care

At a departmental meeting, a senior obstetrician said what many still believe: “We can’t tell patients that misoprostol is off-label and potentially dangerous, if we do, they’ll refuse it.” The room nodded, not from indifference but from shared anxiety.

And a comment to this post said: “I don’t think most obgyns as a s…

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