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Re: OB: Home births**more infoFrom: Anna Meenan, MD (annam@uic.edu)Thu Nov 24 10:34:39 2005
It's both, Gail. Fear on the part of the caregiver, and lack of confidence on the part of both patients and caregivers. Been following this discussion but haven't had much time for responses (how did my schedule get so full when I "retired"?). In contrast to many countries in Europe, where home birth is a legitimate option, and often encouraged, it is very difficult to obtain in this country, in spite of the fact that there is no evidence whatsoever that homebirth is less safe than hospital birth for a carefully selected population. Disasters happen in both places, and there is no compelling evidence that they are more common at home. Babies have died in hospitals of things that could have been prevented by delivering at home. Remember Staph epidemics sweeping through newborn nurseries? Now we have MRSA. What if that was to start spreading in a newborn nursery? (and don't think it couldn't happen--the University of Chicago Hospital was just sued by the State of Illinois for DOUBLE-BUNKING babies in the NICU at times over the past 7 YEARS!) I have seen a baby die of iatrogenic cord prolapse because impatient attendants couldn't wait for labor to follow it's natural course. Midwives at homebirths are generally much more patient. I could go on and on with anecdotal reports, which is what the American birth Establishment does when making the case for hospital birth. Unfortunately, on the flipside, we do have this nasty liability crisis going on, which means all bets are off, and it is a shame what has happened to birth in this country in just the past ten years.
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Anna Meenan, MD
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