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Re: homebirth conversationFrom: Natalie Melanson Martin (nmelanson@personainternet.com)Sun Nov 27 20:39:19 2005
>I have been practicing 22 years in OB-Gyn. My philosophy has been that > nurses, midwives, dads and taxi cab drivers can deliver 95% of the babies > with no problems at home or in the back of the car. After lurking throughout this conversation, I feel the need to respond to this. Lumping together "nurses, midwives, dads and taxi cab drivers" is extremely insulting in that it presumes that nurses and midwives have no knowledge, skill or training. Granted, midwives' training in various states/countries have different levels of training, but in my neck of the woods, midwives are certified yearly in neonatal resuscitation, every 2 years in emergency skills ("unplanned" breech and twins, cord prolapse, PPH, for ex.), and this follows a rigorous 4 year direct-entry university programme or 1 year accreditation process for midwives who are trained out of country. We do have guidelines and protocols and can usually either see the disasters coming and consult appropriately or else deal with the emergency. I'm sure the same goes for midwives in many other settings. Natalie Melanson, RM Ontario Registered Midwife
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