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Re: gional Physician Backup for Homebirths

From: anonymous@obgyn.net
Wed, 26 Jul 2000 12:49:59 -0500 (CDT)

At Wed, 26 Jul 2000, Jennifer wrote: >
>I am looking for information on gaining community support for a
>homebirth. I have done my homework and feel very strongly about having
>my second baby at home. The only midwife in my area will only take
>clients who can find a physician backup for the event of an emergency
>hospital transport. Her few experiences with local emergency rooms have
>been too abusive for her to continue without the support of a doctor.
>The OB's that I have contacted are adomandtly against homebirths. Does
>anyone have any regional information on potential doctors, in Charleston
>County, South Carolina, that may be willing to back up a homebirth. Also
>any ideas on how to pursuade the profession that although complications
>can occur childbirth is a natural process of the body. When
>complications occur and medicine is necessary it should be available
>without losing the option of a homebirth. I could not find the
>necessary recourses for my first birth and would be forever grateful to
>have all of the options for my second birth. It seems if doctors really
>belive that there is potential danger in homebirths they would take the
>responsibility to make them safe.
>
>Jennifer

At the risk of enduring another heap of flame, I would like to point out it is the fact that the baby is being delivered at home that is is the potentially dangerous part, and there is nothing that the physician community can do to make them safer except to advise against them. Just as I cannot require you to violate your principles and deliver in a hospital environment, you don't have the right to insist that a physician participate in something that he or she adamantly opposes.

An analogous situation might be the ringside doctor at boxing matches. The overwhelming majority of doctors will not act in this capacity, as it gives an implicit approval of the activity, which is clearly dangerous, however appealing it might be to the participants. 

--
William D. McIntosh, MD, FACOG
Clarksville, TN


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