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Re: Birthing decisions From: Bmidwife@aol.com Thu Mar 7 22:19:51 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bmidwife@aol.com: "Re: Patients or consumers" Previous message: MARGUERITE H. EPSTEIN: "Re: Birthing decisions" In a message dated 96-03-07 02:45:43 EST, OBDocRick@aol.com writes: > I, the Obstetrician on call, must assume >the care of the patient in need, for the treatment must be rendered, but why >must I then assume the liability for the outcome, for a procedure that I >would never recommend in the first place (delivery outside the hospital) >because of the potential devistating outcomes that can occur? Dear Rick and list, I think that one of the thigs that is often overlooked by the medical community where home, or out of hospital birth is concerned, is that the women who choose this alternative, are generally taking responsiblilty for their birth outcome. In the very rare event that a hospital transport is necessary, the birthing woman understands her need for medical attention, and gratfully accepts it. Women LOVE their cesereans when they KNOW that they are needed. I do understand your frustrations. But where does this leave women who want to birth their babies at home? As a rule, most midwives have no back-up. Because they face that very situation that you describe. While we understand your point of veiw, in coming from a different world, (respectfully) It leaves women who want to birth at home, in a situation where they and their midwife have no back up. I work in a small, free-standing birth center. We have only done just over 500 births in the last 6 years, but we have not had any disasters. Our transport/transfer rate is less than 2%, and that includes women who we have refered out in the last two weeks of pregnancy. Some might attribute thees kinds of statistics to serving a "low risk" population. Well. We do breeces. (yes. even primips, after carful evaluation.) We do twins. (not identical) VBACs, WITH classical incisions. etc. We believe that our wonderful outcomes are because we spend a lot of time with each client, REALLY teaching nutrition to avoid PIH, prematurity, etc. How can anyone argue what is safe, and what is not safe, with this kind of track record? I do agree, that birth is as safe as life gets. I am sad that many doctors find that they must assume responsibilty for the outcome of a home birth "procedure" because of *potential* liability for the outcome. I feel that when a transport is necessary, it should be treated as any other situation. The one at hand. Punishing the woman and the midwife is not going to do anyone any good. I am just curious, if any of you on the list would like to share your experiences and outcomes with homebirth transports from midwives? Sincerely, Bridgett Ciupka The Birth Center Dearborn MI 48126 Next message: Bmidwife@aol.com: "Re: Patients or consumers" Previous message: MARGUERITE H. EPSTEIN: "Re: Birthing decisions"

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