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Re: water and birthFrom: Philip Suarez, M.D. (philip@ICSI.Net)Fri Oct 27 15:41:46 1995
> In reply to Dr. Chase's concerns regarding water birth: Most practictioners > of water birth have low-intervention philosophies, that is, birth is > basically hands-off. Episiotomy is not performed. How is the extensive perineal damage repaired? Once the entire perineum is ripped and the urethra is dangling - is the repair then performed in the operating room?
> The purpose of water birth is to provide a relaxing, low stress environment Clearly not a stress-reducer for the physician responsible for the modern, uneventful delivery of life into the world... (Nor for the malpractice carrier). I would add stress reducer for plaintiff attorneys also.
> and to reduce the shock of transition from intrauterine to I would go a bit out on a limb here and suggest that nature's concept of some shock at birth is not terribly bad. From my education and experience, the shock and trauma of birth is a required step to turn this fetal creature into a land-dwelling animal. Shock causes vigorous respiration (relatively vital step at breathing for the rest of one's life), dramatic upswing in oxygen tension, closure of ductus arteriosus, etc. I distinctly remember in the 80's when the water birth was trying to get in vogue that there were several neonatal deaths because this process of birth was not done the way "Mother Nature" had intended and the child was dead. Cute experiment. I not only think the attempt to deliver a baby into a pool of water is absolutely silly beyond words, but frankly and blatantly dangerous to the well-being of the neonate. Of note - I placed a question on this list regarding an interesting and perplexing gyn oncology patient. Not a single response. Water birth is getting lots of attention, though. I'm getting depressed. Regards, all, Philip
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