Re: ACOG Statment
From: Jamie (ajfields@pine-net.com)
Mon Nov 27 08:41:41 2006
I think it will take a revamp of the entire system-including legal and
insurance-before we really can have the two disciplines working
together. Sad, b/c part of what makes home birth safe is the ability to
transfer to medical care for complications.
At Mon, 27 Nov 2006, Larry Glazerman wrote:
>
>Unfortunately, all too true. I'd have to say, however, not totally
>defensively, that it's a vicious cycle. Patients transferred in are often
>treated with less than ideal sensitivity because we are justifiably
>defensive. From our point of view, it's often a train wreck, not necessarly
>the fault of the midwife, often the patient refusing needed care.
>
>--
>Larry R. Glazerman, MD
>Ob-Gyn at Trexlertown, PC
>larry.glazerman@lvh.com
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Jamie
>Sent: Monday, November 27, 2006 8:02 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: ACOG Statment
>
>Unfortunately, Dr. Glazerman, you're correct. The distrust and
>antipathy goes both ways, though. Women who transfer from a home birth
>are often treated very rudely by physicians and hospital staff, even to
>the point of having CPS called b/c they attempted home birth. Midwives'
>records are ignored and patients treated as if they had no prenatal
>care. Time is wasted and valuable information ignored.
>
>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
>>
>--
>JFields, RN, BSN
>
--
JFields, RN, BSN
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