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Re: OB: Home birthsFrom: Jamie (ajfields@pine-net.com)Thu Nov 17 11:27:59 2005
At Thu, 17 Nov 2005, GA12L@aol.com wrote: > >In a message dated 17/11/2005 04:19:13 GMT Standard Time, >garrys@mindspring.com writes: > >The patients are being dismissed, lock, stock and barrel. > >I don't know who the lay midwife is, or I would turn her in. > >Why are women doing this? I don't understand what's going on. Please >enlighten this Brit. > >Gail I completely disapprove of the practice, but I understand how women come to such a point. Birthing options are becoming increasingly limited in the U.S. My state does not recognize homebirth as valid. There are midwives, but there is no provision for licensing or monitoring-the midwives I know here were all educated in other states. Because homebirth isn't recognized, it is difficult to get any prenatal or postnatal tests done (including newborn screening for metabolic disorders). If a mother risks out pregnancy, she can seek care through a physician. If she risks out during labor, she gets the on-call person. When I had homebirths and wasn't able to obtain backup medical care, I knew those were my options. My last 3 births were with a midwife in a neighboring state who has a backup relationship. I was fortunate-the more so b/c I did have to change to physician care and a hospital birth at 36 weeks in my last pgcy (anemia). There are several other states in which midwives can not be licensed, or in which they are not allowed to attend homebirths. Birthing centers aren't available everywhere. In the hospital, the constant worry about keeping insurance carriers happy and preventing litigation seriously limits choices. Listmembers have posted more than once recently that it is near impossible to practice EBM d/t the medmal issue. What does the research show about continuous EFM? Does anyone dare not use it? It's next to impossible to give birth in a hospital without continuous EFM, which makes labor absolutely miserable for a lot of women. Women who want intervention to be used only when clearly indicated are stuck out. Birth plans are laughed at. The natural birth camp points fingers at obstetrics, the OBs point fingers at midwives and Bradley moms. It's the system that's broken. This type thing is going to keep happening unless the system is fixed. Just don't ask me how to fix it.
-- JFields, RN, BSN
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