Re: ACOG statement
From: Efrain Ramirez (eramirezt@coqui.net)
Wed Nov 15 03:21:27 2006
Been discussed before – IMHO – hospital setting should be the rule..
some people still smoke even after reading the Surgeon General's
warning…
Ef
At Mon, 13 Nov 2006, Kris Bagiu, CPM, RM wrote:
>
>Can any ACOG members here share some insight as to what motivated this
>random statement? How does it affect obstetricians willing to back up
>midwives (CNMs and DEMs) in OOH birth including free-standing birth centers?
>
>Thanks...
>
>----
>ACOG Statement of Policy
>As issued by the ACOG Executive Board
>
>OUT-OF-HOSPITAL BIRTHS IN THE UNITED STATES
>
>Labor and delivery is a physiologic process that most women experience
>without complications. Ongoing surveillance of the mother and fetus is
>essential because serious intrapartum complications may arise with
>little or no warning, even in low risk pregnancies. In some of these
>instances, the availability of expertise and interventions on .an urgent
>or emergent basis may be life-saving for the mother, the fetus or the
>newborn and may reduce the likelihood of an adverse outcome. For these
>reasons, the American College of Obstetricians and Gynecologists (ACOG)
>believes that the hospital, including a birthing center within a
>hospital complex, that conforms to the standards outlined by American
>Academy of Pediatrics and ACOG,1 is the safest setting for labor,
>delivery, and the immediate postpartum period. ACOG also strongly
>supports providing conditions that will improve the birthing experience
>for women and their families without compromising safety.
>
>Studies comparing the safety and outcome of U.S. births in the hospital
>with those occurring in other settings are limited and have not been
>scientifically rigorous. The development of well-designed research
>studies of sufficient size, prepared in consultation with obstetric
>departments and approved by institutional review boards, might clarify
>the comparative safety of births in different settings. Until the
>results of such studies are convincing, ACOG strongly opposes
>out-of-hospital births. Although ACOG acknowledges a woman's right to
>make informed decisions regarding her delivery, ACOG does not support
>programs or individuals that advocate for or who provide out-of-hospital
>births.
>
>1American Academy of Pediatrics and /American College of Obstetricians
>and Gynecologists. Guidelines for Perinatal Care, 5th Edition. Elk Grove
>Village, IL, AAP/ACOG, 2002.
>
>Approved by the Executive Board October 2006
>
>The American College of Obstetricians and Gynecologists 409 12th Street,
>SW, PO Box 96920. Washington, DC 20090-6920 Telephone 202 6385577
>
>--
>Kris Bagiu, CPM, RM
>Denver, CO
>
--
“ The greatest obstacle to knowledge is not ignorance,
it is the illusion of knowledge.” Daniel J. Boorstin - Historian
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