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Re: listFrom: Anna Meenan, MD (annam@uic.edu)Thu Oct 19 15:44:23 2000
No, the State of Illinois does not have a problem with home births per se (and actually, according to the law, anyone can deliver a baby anywhere they want to, as long as they don't charge for it), but I think they would have a problem with one of their employees, covered by their malpractice insurance (U of I is self-insured) doing a home birth. By the way, Homefirst is a group that consists mainly of Family Practitioners. I am not sure that any of their docs is an Ob-Gyn. They do have a fairly large clientelle and have approached me in the past about helping them expand their operations into the area I am in, but this area is way too hostile to the concept of home birth. Would not be worth the hassles at this stage in my life. When I took my own OB call 24-7 I occasionally provided some backup to a couple of local midwives and never had any problems, but I did encounter a couple of clients who were real clear on what they didn't want done, but then dropped big hints that they expected everything to go perfectly no matter what and weren't willing to accept responsibility for their decisions. If I had been their midwife I would have discharged them from the practice, and providing backup for them made me nervous. When I quit taking 24-7 call I told the midwives I couldn't guarantee that all my on-call people would be as supportive of home birth as I was and that was the end of that. I heard recently that one of the midwives I used to back up was arrested for something related to a birth but I don't know the details and haven't spoken to her.
-- Anna Meenan, MD, FAAFP
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