Texas 2016 Informed Consent Booklet

Texas 2016 ‘Right to Know’ Brochure Results Overview:

Percentage of all statement are medically inaccurate: 25%

Percentage of statements for the first trimester that are medially inaccurate: 44%

Texas Results Overview (2016):

Percentage of statements that are inaccurate:  25%

Total number of statements: 167

Total number of medically inaccurate statements: 42

Percentage of statements for the first trimester that are medically inaccurate: 44%

Number of statements for the first trimester: 52

Number of medically inaccurate statements for the first trimester: 23

Our 2019 Texas Information Sheet

Our Texas 2019 State Information Sheet[/caption]

Research Approach:

Statements were evaluated in two ways. Statements that were in our 2013 Informed Consent Master Database were rated by a panel of experts in human anatomy who determined certain statements to be
either scientifically incorrect or misleading for that period of biological development.  These, as well as new statements added to the 2016 revised brochure, were also assessed against leading textbooks in human embryology and ultrasonography.[i]  For more information on our research methods, please consult http://informedconsentproject.com. Email Contact: theinformedconsentproject@gmail.com

Results:

We found certain patterns of inaccuracy in our evaluation of the 2016 informed consent materials:

  1. Our analysis found a significant level of inaccurate statements. Total % of inaccurate statements was slightly lower than the 2013 statements. While some inaccurate statements were removed, other inaccurate statements remain in Texas’ revised brochure. In the course of Texas’ revisions, some inaccurate statements were removed (Week 4: The bone tissue is growing”). Some inaccurate statements were slightly revised, but remain inaccurate (From Week 6: “…the brain and spinal cord are completing development” changed to “…the brain and spinal cord begin to form”). Some inaccurate statements remained the same (Week 8: “All essential organs have begun to form”).

    An annotated guide to inaccurate statements in Texas' 2016 Informed Consent Materials

    An annotated guide to inaccurate statements in Texas’ 2016 Informed Consent Materials

  2. Statements often accelerated embryological or fetal development by representing systems as developing at earlier stages of life.  Examples: Week 4: Bone tissue is growing or Week 6: Brain activity can be recorded.  Inaccurate statements stated that certain body systems were completely formed when they were in ‘primordial’ stages of development.  Examples: Week 4–The brain and spinal cord begin to form; Week 4–The heart begins to form.
  3. In the transition from the 2013 materials to the 2016 materials, some statements that were medically accurate were deleted from the new version, while some inaccurate statements were added.  Examples of accurate statements that were replaced include: 12 Weeks: It is unknown if the unborn child is able to experience sensations such as pain; This was replaced with a newly added inaccurate statement: Week 12: The fibers that carry pain to the brain are developed. 

References:

[i] Kurjak and Chervenak, Donald School Textbook of Ultrasound in Obstetrics and Gynecology, Jaypee Brothers Medical Pub. 2011, 3rd Ed)

Larsen, William James, The Essentials of Human Embryology, (Churchill Livingstone Inc. 1998)

Moore, Keith, et. al. Color Atlas of Clinical Embryology 2nd edition (Pub: Saunders, 2000)

Moore, Keith, TVN Persaud, and Mark G. Torchia, The Developing Human: Clinically Oriented Embryology, 9th Edition, (Elsevier, 2013)

Sadler, T.D., Langman’s Medical Embryology 12th Edition (Lippincott, Williams and Wilkins, 2012)