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Re: OB: Home births From: Efrain Ramirez (eramirezt@coqui.net) Mon Nov 14 19:21:54 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Anna Meenan, MD: "The end of dipsticks?" Previous message: R. Daniel Braun: "Re: EVRA" In reply to: Garry E. Siegel, M.D.: "OB: Home births" Next in thread: Marie Harkins: "Re: OB: Home births" I think that you should not tolerate explicit lying -they must go somewhere else... we already did that at our group - just tell it to some key persons - the word will spread rapidly.. Ef At Mon, 14 Nov 2005, Garry E. Siegel, M.D. wrote: > >I post this with trepidation. > >I do not wish to discuss the merits of home birth. > >This is a question for Obstetricians and CNMs who practice in the US and >are not involved in any facet of home birth by choice. > >Our busy, 2 CNM practice has had a "run" of home births, i.e. the >patients called AFTER they delivered at home as a FYI type call. Our >CNMs in no way engender or encourage home birth, and there is nothing in >our practice that would ever give any hint or idea that we wish to >participate. We think that these patients well know that we're not >going to participate, and they simply come here for antenatal care and >play along/don't mention their ulimate plan to anyone. However, the >word of mouth grapevine may be working here, meaning successful >patients/home attendants may say things like "so and so had antenatal >care here and no one admonished her" or who knows what. BTW, there has >been no such trend with our MD patients. > >My partners and I are grappling with how to clearly tell all patients >(really, the CNM ones) that, in no uncertainly terms, we do not >participate in any care associated with a planned home birth. However, >we don't want to upset or offend other patients. > >We are contemplating a "greeting" type letter to all new CNM Ob patients >that is short and sweet and outlines a few minimum standards of the >practice (i.e. minimum testing and monitoring standards in line with >ACOG, etc.) and has one line--"This practice does not participate in >planned home births" or something like that. > >Thougths? > >Garry > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA > -- Have the courage to be ignorant of a great number of things, in order to avoid the calamity of being ignorant of everything. Sydney Smith (1771 - 1845) ~walt whitman~ Next message: Anna Meenan, MD: "The end of dipsticks?" Previous message: R. Daniel Braun: "Re: EVRA" In reply to: Garry E. Siegel, M.D.: "OB: Home births" Next in thread: Marie Harkins: "Re: OB: Home births"

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