OB-GYN-L Messages for November, 2005: Re: To FACOGs

Re: To FACOGs

From: ainsron

ainsron@sbcglobal.net

Tue Nov 22 10:04:08 2005

Ronald E. Ainsworth, MD, FACOG

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Jamie Sent: Tuesday, November 22, 2005 6:04 AM To: Multiple recipients of list OB-GYN-L Subject: Re: To FACOGs

Weren't the Chamberlain's miraculous instruments made necessary in part by deformed pelves d/t malnutrition and early use of corsets? Both achievements of civilization. The research I've seen shows the best outcomes with planned home births attended midwives who are skilled at keeping birth normal and knowing when it isn't. With all due respect, I've worked in hospitals. Continuous EFM alone is enough to throw labor entirely off, and that's only the beginning of the "just in case" interventions. Planned, attended home birth has good outcomes. That is as large a part of the choice for many homebirthers as comfort. Jamie

At Mon, 21 Nov 2005, DoctorJoe@aol.com wrote: >
>In a message dated 11/21/05 8:48:51 PM, eramirezt@coqui.net writes:
>
>> Maybe I am wrong but it stated...baci in 2002 Compendium .." Labor and
>> delivery, while a phisiologic process, clearly presents potential
>> hazards to both mother and the fetus before and after birth. These
>> hazards require standards of safety which are provided in the hospital
>> setting and cannot be matched in the home situation. We support those
>> actions that improve the experience of the family while continuing to
>> provide the mother and her infant with accepted standards of safety
>> available only in hospitals which conform to standards as outlined by
>> the American Academy of Pediatrics and the American College of
>> Obstetricians and Gynecologist"
>>
>> Those statements are carved in granite in every lawyer's desk....
>>
>Remember what the deal is - to improve on Mother Nature. That's the cause a
d >aim of "civilization" as we know it.
>
>Before civilization, EVERYONE had a "home birth." I've witnessed the grave
>stones attesting to that heritage. Things have only gotten better. To regre
s is >foolish.
>
>ACOG is (apparently) attempting to support a "home birth" experience in a
>setting that provides all the modern safeguards. Make the mother comfy but
et a >good outcome.
>
>To provide a "home birth" experience at "home" or in a rice paddy or in a
>cave, while it may be attractive to some, subverts and obstructs the advanc
of >civilization. Hugging a tree does not make it a wooden house. Mother Nature
has >many notches on her guns.
>
>Remember, as much as "home delivery" was the rule, the Chamberlins and thei
>mysterious instrument was a good thing. The Kaiser and his snit was a good
>thing. And one can go on and on.
>
>So yes, IMHO, ACOG got THIS one right. It's not their habit, but it worked
>this time.
>
>Joe P.

-- JFields, RN, BSN

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