Re: Amish/Mennonite clients

From: Sherri Holley (midwife@obii.net)
Tue Apr 11 19:39:20 2006


Re: Amish/Mennonite clientsI haven't posted for quite some time, I practiced in Alaska for 21 yrs and in New Mexico now for almost 7 yrs. My area of New Mexico, I see quite a few Mennonite clients. Some with Amish husbands. As a group, I see a few more that question why we're doing a CBC's in 28 wks and 35-36 wks. Most go for the GBS testing, but my general clients do the same. If I have a woman who's at risk for diabetes, or looking like they may be heading for toxemia, they are the first ones to suggest testing. A great deal of that is to work proactively if they are headed that direction, so they can still keep within the low risk for out of hospital births. They will accept dopplers for monitoring, as well as rotation of the baby's head is " off kilter" . They due not sue, they take on the responsiblity of OOH birrths, but want their practioner to be quite skillful. They are usually wonderful to work with. Sherri Holley LM, CPM

> ----- Original Message -----
From: Meenan, Anna, Kevin To: Multiple recipients of list OB-GYN-L Sent: Tuesday, April 11, 2006 1:43 PM Subject: Re: Amish/Mennonite clients

Ina May sees a lot of Amish clients at her birth center. They tend to be anxious to avoid interventions because they have no health insurance and pay for everything out of pocket. They also, of course, decline to use most modern technology. OTOH, they also tend not to sue for bad outcomes and are more accepting of babies that are not "perfect". They also tend to have lots of babies. I read a book written by a family doc who worked with Amish ladies for several years. The book is called "Dr. Frau: A Woman Doctor Among the Amish" by Grace H. Kaiser. It was a fascinating book. There are a LOT of cultural differences. I was surprised. There are also some stories of Amish births in "Spiritual Midwifery".

Anna Meenan, MD

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I was wondering if anyone on this list has a large amount of Amish/Mennonite clients. I recently have two clients that don't know one another who both birthed in Ohio(I am in CA) with an OB/Gyn at a freestanding birth center which has Amish/Mennonite clients/room. I know that both told me that routine tests are done on a needed only basis. I am wondering what the other differences are, I was told that the Amish room was very plain. Can someone expand on this or if anyone practices close to this facility or sees Amish clients educate me on cultural differences.

Thank you,

Sue Turner, LM

Colossians 3:12: And so, as those who have been chosen of God, holy and beloved, put on a heart of compassion, kindness, humility, gentleness and patienceS





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