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Re: HomebirthsFrom: Heidi (heidi@nybble.net)Sun Mar 21 15:22:21 2004
Actually, the midwives I work with keep statistics on transfer rates, not only during labor, but also during the prenatal period (PIH, HELLP, uncontrolled gestational diabetes), and any transfers the occur following the birth (neonatal resp difficulties, PPH, etc.) Perhaps some midwives out there are padding their stats. I know several docs in our area who pad their cesarean stats (or who claim not to even KNOW their rate of inductions, episiotomy, etc.) I know many childbirth-related deaths in hospitals are not counted as such. I'm not saying that all midwives are perfect (or even that I will be the perfect midwife, lol) but I don't pretend that the letters "MD" after a name make one infallible either. In any case, none of the midwives I've been privileged to know, CNMs, CPMs, LMs, and direct-entry midwives who have chosen not to become certified through any national body, are dumping off bad outcomes and discounting them from their stats. In fact, they overwhelmingly contend that bad outcomes happen. Home, hospital, or birth center. We cannot prevent all bad outcomes no matter what technology we have available. This is true in every field of medicine, not just OB.
-- Heidi
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