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Re: Breech birth From: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au) Sat Nov 26 17:34:42 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: GA12L@aol.com: "Re: Amnioinfusion" Previous message: GA12L@aol.com: "Re: FRI I have an idea..." Maybe in reply to: GA12L@aol.com: "Breech birth" Next in thread: art fougner, md: "Re: Breech birth" Reply: art fougner, md: "Re: Breech birth" It's not the place of delivery, but the people in attendance that need to be "homey". We are all in varying measure anti-interventionist, but there are differing opinions about what interventions are safe and what are not. The whole argument about home versus hospital is distilled into the question "how much risk are you prepared to take?" Steve Raymond -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Jamie Sent: Sunday, 27 November 2005 3:13 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Breech birth At Sat, 26 Nov 2005, DoctorJoe@aol.com wrote: >And I think this is a rough guide to how US Obstetricians try to do it. >Only the governing factor is AVAILABILITY OF THE BACK-UP FACILITIES. >"Going for" a c-section or other intervention across town, or into >town, or by taxi or ambulance is clearly less beneficial than if the help is immediately on hand (e.g. >within 30 minutes, as per ACOG protocol). > >So her you have the bone of contention here. Midwives (apparently) >don't think it's necessary to be within 30 minutes of a skin incision >(or feel that they've screened their clients well enough to guarantee >they won't need it) while OBs (at least in the US) feel that they don't >want ONE BABY to fall through the cracks, so they'll set up a "homey" birthing center IN the hospital. > >So I think everyone needs to concentrate on what we're really debating. >The few babies who NEED some sort of intervention and how and how fast >will it be provided. Selection can do wonders, but you can't fool Mother Nature forever. > >Joe P. The "homey" atmosphere in the hospital is just a facade, though. Hombirth isn't just about being comfortable-though a hospital labor bed is pretty far down on my list of comfortable places to give birth. It's about avoiding the interventions that increase risk. It is just next to impossible to have a hospital birth without unnecessary intervention. Many of them are done reflexively. A lot of homebirthers are willing to trade immediate availability of a c/s for the limitation of interventions because they believe it lowers overall risk. If intervention was only done when needed, then hospital birth might have a very small margin of safety over homebirth. Can you do that, though? -- JFields, RN, BSN Tasmania Together 5 Year Review: Have your say http://www.tasmaniatogether.tas.gov.au/ Next message: GA12L@aol.com: "Re: Amnioinfusion" Previous message: GA12L@aol.com: "Re: FRI I have an idea..." Maybe in reply to: GA12L@aol.com: "Breech birth" Next in thread: art fougner, md: "Re: Breech birth" Reply: art fougner, md: "Re: Breech birth"

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