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ACOG requests unsourced anecdotal home birth "data"



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No. 20
from morte
Old Sep 05, 2009, 09:33 AM

Default Re: ACOG requests unsourced anecdotal home birth "data"
Originally Posted by babyRN. View Post
As a NICU nurse, there's no freaking way I'd have a home delivery. I think this sector needs to be tightly regulated, as ACOG suggests, although they were a bit naive putting out that question amongst the fury of the "natural birth" folks.
i would bet that 90+% of the bad outcomes that you are implying were hospital births........
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No. 21
from sethmctenn
Old Sep 05, 2009, 09:41 AM

Default Re: ACOG requests unsourced anecdotal home birth "data"
I have a long history of association with home births and with hospital births. I've been there for dozens of each. I've only seen 2 transfers to the hospital from home, both of which resulted in healthy babies and healthy mamas. CPMs have extensive training, typically take only low risk births, and do a great job in my experience with several of them. For those people who want tighter regulation, LICENSE CPMs! With a licensure board, the national exam, experience requirements, etc...you get much safer home birth midwives!
The hospital is also great. I think that medium to high risk births are safest there. I love L & D but think both options are helpful to have in a safe/regulated way.
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No. 22
from babyRN.
Old Sep 05, 2009, 09:43 AM

Default Re: ACOG requests unsourced anecdotal home birth "data"
exactly. Because they escalated to be that way. Why would a woman want to risk her baby in such a manner otherwise?

I don't want this to turn into an argument over the benefits or lack thereof homebirths...but it's just in my experience seeing all the broken families that I have every single day, in JUST my opinion, I wouldn't do a home birth.

Too many families had the "perfect" pregnancy...up until the labor started or unexpected events that the US didn't pick up on...or a million other things.
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No. 23
from CityKat
Old Sep 05, 2009, 11:49 AM

Default Re: ACOG requests unsourced anecdotal home birth "data"
I think people are so programmed into thinking and believing that the "safest" way to birth a child IS in the hospital and therefore, are quick to dismiss the positive results of home births. There are lots of women who do not want an obstetrician involved in their birthing experience; for many reasons I understand. I agree with Setmctenn, license midwives!
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No. 24
from joyouter
Old Sep 05, 2009, 12:49 PM

Default Re: ACOG requests unsourced anecdotal home birth "data"
Originally Posted by CityKat View Post
I think people are so programmed into thinking and believing that the "safest" way to birth a child IS in the hospital and therefore, are quick to dismiss the positive results of home births. There are lots of women who do not want an obstetrician involved in their birthing experience; for many reasons I understand. I agree with Setmctenn, license midwives!
The UK, Scandinavia, France, Germany, Holland, Australia, New Zealand among others, all have excellent nursing and midwifery education and research. Moreso, they are licensed and registered, follow an university/hospital accreditated system for quality management and staff training. Midwifery education at universities addresses every aspect of birth from conception, fertility issues, physiology of mother and infant, physiology of labour and delivery and all aspects of delivery methods - similar to medical students. Why aren't these countries who have benchmarked excellence in professional midwifery practice being considered as resources in raising the bar for midwifery education and practice in North America? Why the insistance on narrow and obsolete views? Obstetricians will always earn large salaries and they will always be involved in deliveries, notably high risk pregnancies and normal pregnancy. Does ACOG really want the profession of midwifery or is it easier to relegate them to the level of witch craft - an act which served to control educated, intelligent and independent women?
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No. 25
from CityKat
Old Sep 05, 2009, 03:54 PM
Updated Sep 05, 2009 at 04:01 PM by CityKat

Default Re: ACOG requests unsourced anecdotal home birth "data"
Has anyone seen "The business of being born"? It's a movie directed by Ricki lake about birthing here in the US. If you have netflix, it is an instant watch movie.

I HIGHLY recommend watching it if you have not and especially so if you're a CNM, and an OB or NICU nurse

In 1900, 95% of births in the US took place AT HOME
In 1938, 50% of all births took place AT HOME
In 1955, LESS THAN 1% of births took place at home.

It remains the same today.
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No. 26
from Artistyc1
Old Sep 05, 2009, 06:48 PM

Default Re: ACOG requests unsourced anecdotal home birth "data"
Originally Posted by babyRN. View Post
exactly. Because they escalated to be that way. Why would a woman want to risk her baby in such a manner otherwise?

I don't want this to turn into an argument over the benefits or lack thereof homebirths...but it's just in my experience seeing all the broken families that I have every single day, in JUST my opinion, I wouldn't do a home birth.

Too many families had the "perfect" pregnancy...up until the labor started or unexpected events that the US didn't pick up on...or a million other things.
Maybe after you have more than one year of nursing experience under your belt, you will be able to see more than the one side of the issue. After more than 25 years of L and D experience, I became burned out from seeing far too many low risk women being treated automatically as high risk, with more interventions than the situations called for, leading quickly to a cascade of problems, often distressing the fetus. Many of these occurred due to physicians "failure to wait", not labor's "failure to progress". When a woman doesn't follow the Friedman's curve exactly, they start sharpening the scalpels. If a woman isn't moving along quickly enough, put in the epidural PRONTO, "we have to crank up the pitocin, and blast this kid out. " An unanesthetized woman is nothing but a fussy, whiny pain in the behind to many of them, as a woman should just be silent during this process.
I believed somewhat as you did, when I was a new nurse- but saw too many bad outcomes from too much UNNECESSARY intervention. What it did to traumatize the mothers was immeasurable. Sometimes these interventions can save a life, or even two. But, all too often, they are used with impatience and poor judgement. Time really opened my eyes. (PS- I worked in large city hospitals, with patients along the entire spectrum.)
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No. 27
from BeccaznRN
Old Sep 06, 2009, 12:20 AM

Default Re: ACOG requests unsourced anecdotal home birth "data"
Originally Posted by Artistyc1 View Post
Maybe after you have more than one year of nursing experience under your belt, you will be able to see more than the one side of the issue. After more than 25 years of L and D experience, I became burned out from seeing far too many low risk women being treated automatically as high risk, with more interventions than the situations called for, leading quickly to a cascade of problems, often distressing the fetus. Many of these occurred due to physicians "failure to wait", not labor's "failure to progress". When a woman doesn't follow the Friedman's curve exactly, they start sharpening the scalpels. If a woman isn't moving along quickly enough, put in the epidural PRONTO, "we have to crank up the pitocin, and blast this kid out. " An unanesthetized woman is nothing but a fussy, whiny pain in the behind to many of them, as a woman should just be silent during this process.
I believed somewhat as you did, when I was a new nurse- but saw too many bad outcomes from too much UNNECESSARY intervention. What it did to traumatize the mothers was immeasurable. Sometimes these interventions can save a life, or even two. But, all too often, they are used with impatience and poor judgement. Time really opened my eyes. (PS- I worked in large city hospitals, with patients along the entire spectrum.)
Terrific post. These exact words were actually uttered to a fellow L&D nurse by an OB: "If she hasn't delivered by 11 A.M. she gets the knife." The nurse charted it verbatim.

I left L&D for NICU after only one year because I was burnt out and couldn't stand seeing the way OB's ran things. It was a very disheartening experience for me. And even though I see the worst of the worst as a NICU nurse now, I would still consider a home delivery if I ever became pregnant.
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No. 28
from babyRN.
Old Sep 06, 2009, 12:10 PM

Default Re: ACOG requests unsourced anecdotal home birth "data"
Maybe after you have more than one year of nursing experience under your belt, you will be able to see more than the one side of the issue. After more than 25 years of L and D experience, I became burned out from seeing far too many low risk women being treated automatically as high risk, with more interventions than the situations called for, leading quickly to a cascade of problems, often distressing the fetus. Many of these occurred due to physicians "failure to wait", not labor's "failure to progress". When a woman doesn't follow the Friedman's curve exactly, they start sharpening the scalpels. If a woman isn't moving along quickly enough, put in the epidural PRONTO, "we have to crank up the pitocin, and blast this kid out. " An unanesthetized woman is nothing but a fussy, whiny pain in the behind to many of them, as a woman should just be silent during this process.
I believed somewhat as you did, when I was a new nurse- but saw too many bad outcomes from too much UNNECESSARY intervention. What it did to traumatize the mothers was immeasurable. Sometimes these interventions can save a life, or even two. But, all too often, they are used with impatience and poor judgement. Time really opened my eyes. (PS- I worked in large city hospitals, with patients along the entire spectrum.)
Respectfully, I think you misread my post. I was talking about HOME deliveries. Not birthing centers or hospitals where midwives are present. I've also done extensive research on the elective c-section issue and so have read a lot about the unnecessary interventions as a side topic--I agree that there are too many unnecessary interventions.
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No. 29
from Artistyc1
Old Sep 06, 2009, 12:36 PM

Default Re: ACOG requests unsourced anecdotal home birth "data"
Originally Posted by babyRN. View Post
Respectfully, I think you misread my post. I was talking about HOME deliveries. Not birthing centers or hospitals where midwives are present. I've also done extensive research on the elective c-section issue and so have read a lot about the unnecessary interventions as a side topic--I agree that there are too many unnecessary interventions.

I have to still disagree with you. What would be the problem with an EDUCATED, WELL TRAINED midwife assisting a delivery in her patients home? In what way, truly, would that be different from a free standing birth center? Other than that the mother would be in the comfort of her own home, with familiar surroundings, and the people she chose to be there? This is NOT advocating the "do it yourself delivery" by untrained personnel. Thus I did not misread your post. Your post advocates ALWAYS performing births in a medical facility, and I can't agree with that.
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