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Re: c/sec in 14 y/oFrom: Marjorie Dacko, CM (dacko@accessnv.com)Sun Nov 30 13:17:56 1997
I'm sorry Dr. Suleman feels the way he does. I believe that he is wrong to assume that midwives do not have to deal with the medicolegal responsibilities of our decisions. I am currently in the middle of a law suit pertaining to a damaged baby due to meconium aspiration. The difference between Dr. Suleman and I is that I can't get malpractice insurance and therefore everything I own is at jeopardy as well as mine and my husbands future incomes....it can be garnisheed at up to 25% for the rest of our lives and our estate can be taken also! Do doctor's have these fears to live with? I have to make decisons at every birth that impact on the family, the baby, myself AND the future of midwifery! Every bad outcome at the result of midwifery care is open for discussion on whether or not midwives should even be allowed to exist (a prime example of this mentality is the letter I am replying to.....one midwife does something that is not approved of and this doctor wants ALL the midwives kicked off the list!!!) Do doctors worry every day whether or not their profession is suddenly going to be outlawed (in some states midwifery is against the law)??? The argument I hear most often from doctors is that I am practicing obstetrics without a medical license, as midwifery and obstetrics are one and the same......if this is true then a mailing list pertaining to obstetrics should apply to midwives. If, on the other hand, if midwifery and obstetrics are relative but different professions, then perhaps this list is not for midwives. I am sorry that there are doctors on this list who feel there is little if anything to be learned from midwives. I have spent my whole professional life trying to build bridges between midwifery and obstetrics, but for the most part it has always been a one way street. What bothers me most is that not one doctor on this list brought this man to task for his inappropriate actions, despite the fact that he asked for suggestions, got many, and then did the exact opposite, with what appears to be very serious consequences for this woman and her baby. It is absolutely OK to empathize with a doctor met with a difficult situation who makes the best decision he can based on what is currently happening (I would hope that doctors might be "more forgiving" to midwives as well!), but peer review is the foundation of the continuing education process that is vital for our professions. Without stern peer review and acceptance of currently recognized research, the health professions would still be in the dark ages!! Knowing the C/S issue in Brazil, this was a perfect opportunity for some serious peer review about the avoidance of unnecessary C/S's. Margie Dacko, CM
>Hi.Forgive me for expressing my opinion.I think we should have a site
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