Informed refusal is an important component of the process of informed consent. Just writing that the “patient did not comply” is insufficient to protect yourself from an allegation later. It is essential to document the informed refusal process. It should mention that the need for the intervention, and the risks, benefits, and alternatives to the intervention, as well as the possible consequences of refusal, have been explained to the patient. The patients reason for refusal should also be archived. (ACOG Committee on Professional Liability. ACOG Committee Opinion No. 306. Informed refusal. Obstet Gynecol. 2004 Dec;104(6):1465-6.)