Re: Homebirths

From: 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

> -----Original Message----- > From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Dr > Eberhard W Lisse > Sent: Sunday, March 21, 2004 4:03 PM > To: Multiple recipients of list OB-GYN-L > Subject: Re: Homebirths > > In message <20040321060623.2F8D2438B0@ac.lisse.na>, Dr Eberhard W > Lisse writes: > > > What assertions? (And plural, nog al!) I didn't write anything about > > taking blood pressures. > > Oops, I should have kept a copy of my post :-(-O > > But anyway, > > > Just the oppsite, dump them quickly onto the nearest Obgyn so they don't > > mess with your fine statistics, which I only trust if I forged them > > myself. > > el >





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