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Re: CNMs and Water BirthsFrom: Dr Eberhard W Lisse (el@lisse.NA)Thu Nov 2 23:49:51 2000
At 17:58 02.11.00 -0600, Len2976@aol.com wrote: >The L & D unit in a nearby community has recently purchased a pool or tub for >water births. I do not practice at the hospital but I know several CNMs on >the staff. None of them (nor even any OBs or neonatology) were consulted. > >I understand the decision was made (by peds and neonatology) NOT to have >water births. However after numerous telephone requests by patients, the >hospital paid for one CNM from each practice to go to a "water birth" >conference. The CNMs, while not initiating the practice, are willing to >accomodate those patients who desire them. I have done a few water births at my former teaching hospital. Against my better judgement, by the way. But, they all went very well. Personally I don't see why one wants to get into a pool to deliver, but then those supratentorically hypertrophied Birkenstock wearing patients usually get what they want because of the competition between obstetric departments in Germany. When they say "It's more natural" as in back to the roots and "indigene people do it" they are most suprised that the trend with indigenes is into the hospital and onto the delivery bed. And by the way, not only the supine prosition, but rather "Any position you want me in, you are the doc!" One argument is that you do less interventions such as episiotomies. Right, try to do an epi in the pool in the first place and secondly these are very selected patients, and thirdly seems we are doing too many epis anyway. So I am off epis these days (the midwives in my new hospitals want me to do more but not backed up by literature, they are just old fashioned East Germans :-)-O), in other words, if you restrict your epis as much as in the pool there is no difference. But, again, with selected patients, and the required infrastructure (see Malcom's post) I reckon it's less dangerous than a home delivery :-)-O el
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