Re: ACOG Statment
From: Louana George, RN, LM, CPM, MA (westsidebirthservice@juno.com)
Sun Nov 26 20:45:25 2006
This raises another important question--midwives who provide OOH birth
are very clear that they can't promise a perfect outcome and make sure
this is well understood and informed consent forms are signed. If it is
physician and hospital contention that most serious problems can be
solved in a hospital setting--well when things do go wrong the
physicians are blamed for not providing a perfect outcome--hence
terrible malpractice lawsuits.
At Sun, 26 Nov 2006, Larry Glazerman wrote:
>
>At the risk of being flamed by my physician colleagues, while the
>statement below is clearly true (serious things CAN occur in low risk
>pregnancies), is it our position to coerce women who would rather
>take that real but small risk, rather than deliver in a hospital?
>
>Unfortunately, IMHO, the hooker here is the legal system. When a
>patient who chooses OOH birth does have a problem, and is brought to
>the hospital (as RESPONSIBLE midwives will do), it's often the
>physician and the hospital who bear the brunt of the family's anger
>and frustration, and often find themselves in a lawsuit, brought on
>by a patient with whom they have not had the opportunity to develop
>rapport, etc. That's why many obs are unwilling to support this
>situation. Is this fair? probably not. It is, however, sometimes a
>matter of self-preservation
>
>--
>Larry Glazerman MD
>St. luke's Center for Advanced Gynecologic Care
>(VERY HAPPY to no longer be doing ob!!!!!)
>
>On Nov 26, 2006, at 9:42 PM, Efrain Ramirez wrote:
>
>> Louana.. are you saying that "serious intrapartum complications may
>> arise with little or no warning, even in low risk pregnancies." is a
>> false statement? If you work long enough you will find out how true it
>> is, unfortunately...
>>
>> Ef
>>
>>> At Sun, 26 Nov 2006, Louana George, RN, LM, CPM, MA wrote:
>>>
>>> No one on this discussion has yet addressed the unsubstantiated and
>>> inflammatory statement that has not been sceintifically proven, to
>>> wit:
>>> "serious intrapartum complications may arise with little or no
>>> warning,
>>> even in low risk pregnancies." Is the ACOG board talking about the
>>> complications created by the regular and by now compulsory
>>> interventions
>>> at hospital births? I would think so, but where are the studies that
>>> prove this statement?
>>>
>>> Louana
>>>
>>> At Wed, 22 Nov 2006, Stmidwife@aol.com wrote:
>>>>
>>>> And that is exactly why I choose to work with a midwifery
>>>> partner!! We are
>>>> both at each and every birth, one for the mom and one for the
>>>> baby. We rotate
>>>> who is first call and that is the person to care for mom and the
>>>> other for
>>>> baby(comes around 8 cms). We actually have double of
>>>> everything plus some.
>>>> The nice thing is that I live 3 minutes from the birth center
>>>> and my
>>>> midwifery partner live several blocks from the center. I am
>>>> very blessed.
>>>>
>>>> Sue
>>>>
>>>> In a message dated 11/21/2006 9:56:47 P.M. Pacific Standard Time,
>>>> ob-gyn-l@obgyn.net writes:
>>>>
>>>> so sue,
>>>> not to be argumentative, but if mom and baby are both coding ,
>>>> who do you
>>>> save
>>
>> --
>> “ The greatest obstacle to knowledge is not ignorance,
>> it is the illusion of knowledge.” Daniel J. Boorstin - Historian
>
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