OB-GYN-L Messages for November, 2006: Re: ACOG Statment

Re: ACOG Statment

From:

acmidwife@netscape.net

Mon Nov 27 09:56:17 2006

ac mase CNM

-----Original Message----- From: l.glazerman@rcn.com To: ob-gyn-l@dns.obgyn.net Sent: Mon, 27 Nov 2006 7:15 AM Subject: RE: ACOG Statment

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

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