Thursday, December 16, 2010

MedScape Article:Experts Argue about Home Birth Issue

The Wax article, poor as it was, lives on. Here is a recent editorial with some good folks. (Quinn thinks that home birth is just fine and dandy, thank you very much!).

May all babies be born into loving hands... 

K. Michelle Doyle, CNM, NYS LM

1 comment:

  1. The point Dr. Tracy makes about midwifery education not being uniform is something I'm willing to concede, however I wonder what on earth she's talking about with regards to her point on shoulder dystocia.

    You could say that a SD in the hospital is better in terms of being able to immediately access higher like neonatal resuscitation, but where on earth do blood products and immediate surgery play in with SD? Zavanelli is a last ditch effort and you really are not going to have a good outcome with cephalic replacement followed by c-section. Not to mention that it's ridiculous for her to presume that no midwives who offer home birth services run drills for things like shoulder dystocia. Commenting on the practices of groups that you've never actually had the opportunity to observe is not normally deemed prudent.

    And what exactly are you supposed to do when hospital protocols increase the risk of the very conditions you're in the hospital to ensure the timely treatment of? Do we really want to treat mothers and babies by saying "well, sure... we could crash your blood pressure and maybe your baby will go into distress, but Don't Worry! You're only a little bit close to disaster, and we'll fix it!"

    Dr. Declerq is wonderful, as always.