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Re: List From: Rupak Ranjan Roy (rupakray@caltiger.com) Thu Oct 26 22:06:41 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Edgardo Rivera: "Re: ACOG Preventive med guidelines and Hep B" Previous message: Terrence Jones: "Re: Philosophy of science" This debate has been going on this list for quite sometime now. Personally, I can never figure out how a home delivery could be SAFER than a hospital birth. I always argued that if doing things naturally was always the best thing to do, then our country would have had one of the best maternal and perinatal outcomes. Our figures are getting better BECAUSE of obstetric care. I know, people would argue that it is probably not the obstetrics, but the improvement in socio-economic factor etc. etc. etc. that is bringing on the change, but if you find that you are actually seeing a lot less number of hand prolapses, less V V Fs, less sepsis, less anaemias, fewer mothers dying from PPHs, less eclampsias, you can`t help but appreciate the effects of modern medicine. The problem with your society is that you have reached a point where the outcomes for the mother and the baby have reached a pinnacle and that is why things are being taken for granted and you are trying to look back. It will only take a few disasters at home to make you re-think. In our country, home birth is very common, but we are trying to make this safe by having trained personnel attend the deliveries with clear instructions to send the women to HOSPITAL at the slightest hint of a problem. We would have loved to have all our women deliver in hospital if the finances permitted. I agree with a comment on the list that we must accept a few small disadvantages of hospital delivery for the much greater long term gain. Delivering low risk women at home is probably NOT UNSAFE in your country, but I fail to see how it could be SAFER than a hospital birth. Regarding the horror stories of babies being cut open, surely these are exceptional things. More women suffer from NATURAL obstetric disasters than the MAN-MADE ones. -- Rupak Ranjan Roy MRCOG >----- Original Message ----- From: Luis Sanchez-Ramos, MD <luis.sanchez@jax.ufl.edu> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.medispecialty.com> Sent: 26 October 2000 19:36 Subject: Re: List > At Thu, 26 Oct 2000, Sue Turner wrote: > > >>Although your ancestors and everyone else on this list's ancestors gave > >birth at home and everyone seems to have turned out Ok. Funny.<< > > And what was the maternal mortality rate then? What about maternal > morbidity and perinatal mortality. Hospital births and attendance by > obstetricians certainly have contributed immensely towards reducing > these adverse outcomes. Deliverinf at home is playin russian roulette! > > >>Also in my L&D experience working at a hospital with a NICU I viewed a physician cut open a baby's head when doing an episiotomy, about 1 1/2 inches long and 1/2 deep, a baby die due to unforseen lung malformation directly after birth before anyone could figure out what was going on, a > moms kidney cut during a section, a baby's forehead cut open during a > section, a woman die due to a severed artery and lots more<< > > All anecdotes and probably greatly exagerated: have you not heard of > catastrophes which have been due to home deliveries? I have! > > LSR > Next message: Edgardo Rivera: "Re: ACOG Preventive med guidelines and Hep B" Previous message: Terrence Jones: "Re: Philosophy of science"

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