Re: lay midwives revisted

From: Arthurfree@aol.com
Sat Jan 18 13:37:06 1997


In a message dated 97-01-18 05:48:43 EST, Faith Gibson writes:

> In fact, one
>of the things that disturbs me most as a midwife is the “firewall” erected
>by local
>physicians that prevents me and the families I serve from having any
>meaningful
>relationship with the obstetrical community -- a kind of “my way or no way”
>attitude.

Faith, Though your long post probably went further than necessary to make your point, I admire it's balance and your restraint. (I still predict lightning strikes, however, and perhaps flames where there is smoke).

Let me address only the statement above. As long as our legal system is structured more like a lottery than a fact finding process, we cannot have any relationship to care we cannot directly supervise. I agree that at least as many patients suffer from a "cascade of intervention" as from delayed intervention, but aggressive care provided in good faith is much less commonly perceived as inadequate as delayed care (again primarily by the legal remedies in place). For now, lay midwives are the shallow pockets and physicians are the deep pockets, so if I so much as answer a question (that may or may not have a bearing on an eventual injury) I am at risk (and to a much greater extent than you are). What's more, any cooperation will tend to be viewed as "condoning" home births. This firewall is created by tort law, pure and simple.

Arthur Freeland, MD Warrensburg Missouri





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