Re: OB: Home births

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Tue Nov 15 21:09:33 2005


Realistically, if one of the home birth patients presented to our hosptial and said they belonged to our practice, then we're going to take care of them. Whether they call us beforehand, or just show up, whether we've told them we're not involved, or had zero knowledge of their homebirth, well, we're on the hook. If we said "NO" and let the Ob on the ER call list take care (and it could be us!), then the other Ob would rightfully say--it's your practice's patient and your problem.

Thanks for your wisdom. More than likely, we're going to have an introductory letter that says "no home births" in the text. If anyone balks or wishes to discuss/bargain--no problem, please seek care elsewhere.

Our CNMs agree fully.

Garry

>
> If these women need to be transported from home, is your practice then
>responsible for providing the hospital care because they have been
>established with you during the pregnancy? It is probably not legal
>or ethical to have them enter the "county call" system since they have
>seen you for care. If it were possible, that would be another
>deterrent to them seeking your practice out.
>
>--
>Marie Harkins, CNM
>Ithaca, NY
>

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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