Re: ACOG statement

From: Dr Eberhard Lisse (el@lisse.NA)
Wed Nov 29 01:22:35 2006

No, it is note. And it has never been, when we had this discussion 350 gazillion times already.

el

on 11/28/06 1:24 AM Danae Steele said the following: > I am sorry to hear the tone of some of this discussion. I think this is
> an entirely appropriate forum for this discussion, and a timely topic.
> I do value the input of midwives, and think that all of us can benefit
> by listening to eachother and learning. Name-calling is immature and
> destructive.
>
> I am sorry that ACOG came out with this statement. It flies in the face
> of many studies which have shown that OOH birth for low-risk women, and
> attended by a trained midwife, has very low risks to babies (with
> comparable risks of babies of low-risk mothers born in hospitals), and
> much lower risks to mothers of interventions, operative vaginal
> deliveries, and Cesarean sections.
>
> Doesn't anyone else on this list wonder how midwives get those good
> outcomes? What are they doing in OOH births that we aren't doing in the
> hospital? Obviously, there are lots of diffferences. I wish ACOG would
> focus on getting the best outcome for both mothers and babies, no matter
> where the births take place.
>
> And, I understand fully the risks we M.D.s take when consulting for OOH
> midwives. It would be wonderful to figure out ways to make it safe for
> the doctors to consult when needed. It would also be to the benefit of
> mothers if midwives and physicians could talk politely and respectfully
> to eachother. Who knows, maybe we could all learn something in the
> process.
>
> Contrary to some of the beliefs expressed here, I think that as long as
> women are allowed to make decisions regarding their own health care
> (which will hopefully be forever), some will choose to give birth out of
> the hospital, for a myriad of reasons. I would hope that all of us
> could focus on how to make birth as safe as possible for all mothers and
> all babies.
>
> Danae Steele, M.D.
> MFM
> Green Bay, WI
>

--
Dr. Eberhard W. Lisse  \        / Obstetrician & Gynaecologist (Saar)
el@lisse.NA el108-ARIN / *     |   Telephone: +264 81 124 6733 (cell)
PO Box 8421             \     /   Please do NOT email to this address
Bachbrecht, Namibia     ;____/        if it is DNS related in ANY way



use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Fri May 2 04:46:13 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.

home | medical professionals | women | industry | forums | international
e-mail | about us | advertising | our sponsors | contact us | disclaimer |

This information is provided for educational purposes only.
Please read the disclaimer. ©1996-2000, all rights reserved.
Do not reproduce without permission of MediSpecialty.com