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Re: water birthFrom: Lilyan Kay (lilyan@u.washington.edu)Thu Aug 15 01:05:21 1996
I am not about to call you crazy until I have more data supporting this assertion. As for water birth, it's already been promised to my patients so I'd like to find out as much as I can about it in advance of actually doing it. This is a simple request for information, not an argument pro or con. As I said previously, I don't know enough to have an opinion one way or the other. I would have liked having more information in advance of doing it had this been a choice. To reply to some of the points (1) we have elbow length gloves and doppler sleeves already in use for water labor. (2) the patient is responsible for renting the tub from a local source, so managed care doesn't have to pay for it. (3) we are told in the event of shoulder dystocia to stand the patient up, or possibly to have her go on all fours depending on whether the water level allows this or not. I admit that the familiar 'PC' dynamics tied up with this and other 'avant garde' trends disturbs me. It goes something like this - advocates of the practice insist that it is absolutely harmless, couldn't possibly have any ill consequences, is obviously the greatest thing in the world and imply that anyone who is hesitant to jump into doing it is standing in the way of progress. A groundswell of support arises from patients/consumers who will go elsewhere if it is not offered. This is countered with the polar opposite response of ridicule and outrage. Each side digs in to defend their position. All of this takes place in a vacuum of information. Lily Kay CNM MS Group Health Cooperative of Puget Sound University of Washington MPH Program On Wed, 14 Aug 1996, timothy fitzpatrick wrote:
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