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Re: gional Physician Backup for Homebirths

From: AMD (anonymous@obgyn.net)
Thu, 27 Jul 2000 00:48:17 -0500 (CDT)


I am not a professional, and I may be totally off base here, but here's my 2 cents:

It seems to me that it should be the midwife's job to have physician backup that she works with on a regular basis. It would make me very suspicious of any midwife that did not have solid contacts in the medical community. In my opinion, no midwife should be doing a homebirth without a standing relationship with the nearest hospital and a doctor. Maybe there is a legitimate reason that the ER docs have been hostile to her? She may have a reputation for bad judgement or waiting too long to get help (I'm just hypothesizing here -- I don't know a single thing about your midwife).

It is unfortunate that your options are limited simply because of geography. There are plenty of communities where homebirth midwives have some sort of support from area doctors. Quite frankly, I don't know what doctors can be doing to make home births safer. The problem of home births is the fact that some of the unexpected catastrophe's that can occur during childbirth can not be appropriately treated outside a hospital setting, regardless of the attendant's skill. These problems are incredibly rare, but you probably won't care how rare it is if it is your uterus that ruptures.

Good luck, and I hope you can find a satisfying solution to your dilemma.

Andrea

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




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