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Re: listFrom: Anna Meenan, MD (annam@uic.edu)Tue Oct 17 12:22:01 2000
At Tue, 17 Oct 2000, art fougner, md wrote: > >no question that the home birth issue is highly political. hospital >obstetrics as a standard arose in this country as a reaction to the >unacceptable complications at the time associated with in - home >deliveries. considerable inertia prevents that pendulum from swinging >back. > >the above statement is not evidence - based and is clearly my opinion. >as always i could be wrong. > >art Not all home births were associated with unacceptable complications in the days before hospital births became the norm. The history of the Chicago Maternity Service makes fascinating reading. 14,500 births in the first 5 years (1932-1937--depths of the Depression). Two maternal deaths from hemorrhage, total maternal death rate <1/1000 (at a time when it was 6/1000 nationally). C-section rate <1%. High-risk moms delivered in tenement apartments by residents, med students, and student nurses, often with no prenatal care. Fascinating stuff. (a guy I know did his first delivery ever in the CMS--double footling breech twins to a 16-year-old primigravida, student nurse assisting, resident didn't make it to the birth. Mom and babies fine, my friend got a few early grey hairs and a great story to tell timid med students who are afraid of a normal vertex singleton delivery).
-- Anna Meenan, MD, FAAFP
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