Re: ACOG statement - "The best interest of mother & child"

From: zygote@icsi.net
Sat Nov 18 19:01:00 2006


I leave the two quotes below with those who have read and written concerning the "controversy" concerning midwifery and MD obstetrics. Whether one is in or out of hospital "shit happens." The event may be truly non-predictable but in either circumstance that event must be properly cared for and there comes the rub. If either the CNM or MD, whether in hospital or in birth center, are not properly prepared and do not respond, then death or perhaps the survival of a severely deamaged mother or baby can occur. No rational person can argue that this outcome is appropriate.

Before we have adverse dialogue - those quotes below should be considered, and remedies to prevent the adverse events considered and made available. The laboring of a VBAC at home or in out of hospital birth center without operative capacity is not appropriate unless the woman is really willing to potentially die and true informed consent provided and obtained.

My dogma which I shall never back away from is that "The best interest of mother and child" should be front and center in considerartions as to where and how a mother is delivered. To do otherwise does not honor our commitment to provide for their safety and best interest.

Thoughful replies are requested!

Thanks

RJC

The Dogmas of the quiet past are inadequate for the stormy present A Lincoln

“The truth is that medicine, professionally founded on observation, is as sensitive to outside influences – political, religious, philosophical, and even imaginative, as is the barometer to the changes of atmospheric density. Theoretically it ought to go on its own straightforward inductive path, without regard to changes of government or, to fluctuations of public opinion. [But, there is] a closer relation between the Medical Sciences and the conditions of Society and the general thought of the time, than would at first be suspected."” OLIVER WENDEL HOLMES

Currents & Countercurrents in Medical Science pp 7-8 (Boston, Ticknor & Fields) 1861

On 14 Nov 2006 at 17:44, Zachariah Newton wrote:

Date sent: Tue, 14 Nov 2006 17:44:47 -0600 Send reply to: ob-gyn-l@obgyn.net From: "Zachariah Newton" <zbnewton@bellsouth.net> To: Multiple recipients of list OB-GYN-L <ob-gyn- l@dns.obgyn.net> Subject: Re: ACOG statement

> In the U.S., choice involving another person or organization necessarily
> includes mutual agreement and understanding. That makes for a two way
> street. For terms of one unacceptable to the other, the street is one way.
> Each is on their own: the patient without a physician and the physician
> without a patient.
>
> In emergency situations in the hospital setting, the physician's judgment,
> for which there is accountability, takes precedent.
>
> Just my opinion. Not really complex.
>
> zbn

Robert J. Carpenter, Jr. MD 6624 Fannin, #2720 Houston, TX 77030 (O) 713-795-4600 (F) 713-795-4422

"Life is difficult" The Road Less Travelled by Scott Peck





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