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Re: ACOG statementFrom: Kris Bagiu, CPM, RM (kris@metromidwifery.com)Tue Nov 28 07:41:33 2006
DoctorJoe@aol.com wrote:
> Hate? Battles? Fighting? Name-calling? I'm sure a couple of midwives could hum you a bar of Kum Ba Yah ;) Regarding malpractice insurance and backing up midwives, "what if" the law of your state protected you (as it does in Colorado) from being held liable for your service to a home birth transfer patient what does that do to that particular clause? Another question: if the home birth transfer patient is coming into the hospital now for birth for whatever reason and the midwife does not have privilege the patient is transferred into the care of whomever is attending on deck. This is the same as a random woman walking in off the street, except she's had documented prenatal care and labs to provide. Since at this point she is a "new patient" how does malpractice consider this a "back-up"? Yet another: If I have a client with blood pressure starting to spike, edema, but normal blood work and no proteinuria can I send her to your office without your accepting her as a patient or midwife back-up but more as a consultation and charge her visit accordingly? How does the malpractice insurance carrier know she is not a temp patient of another doctor coming in for a second opinion? I am willing to bet that most OBs in Colorado have no idea there is this clause protecting them, but in my experience when I have consulted which for me means taking my patient to the hospital deck doc, they are willing to document discharge papers with their recommendation, give their caveat about nonsupport of home birth. And off we go. I once TRIED to release a client to a doc on call (he offered!) but he insisted she was healthy enough for a home birth! Kris
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