Midwife charged in DC? Karen Carr, CPM...

[Anonymous]

Anonymous wrote:sooo, what do you all think about the Jewish belief that the mother's life always comes before the unborn baby's? This is my view as well. Even though I am not Jewish, I will do everything to protect my own life before the life of my fetus. For me, this means homebirth. If that makes me a selfish monster, fine.

Interesting and quite different from the viewpoint of Catholic hospitals (or at least the way they used to function--baby's life first).

[Anonymous]

Anonymous wrote:
Oh, didn't mean to jump all over you. These are questions I'm learning more about myself, and I'm surprised about what I'm learning about who is held responsible in an at home birth. I'm sure there are arguments against requiring midwives to carry insurance...but it doesn't really change the fact that there's very little recourse for a family that has had a negligently attended homebirth. Do you know if in countries where midwives are the norm what options a family has? I'm wondering their tort law is like and whether they have nationalized healthcare and other safety nets that cover expenses for families in this situation.

No provider in VA is required to carry malpractice. That being said, hospitals, etc. may require it of their employees, but being a licensed provider itself in VA does not require carrying malpractice.

The majority of home birth families feel so involved in the whole decision-making process for the pregnancy, birth, and post partum that they accept responsibility for outcomes. And that sometimes, terrible things just happen. Homebirth families tend to be the least lawsuit threatening people.

[Anonymous]

I think that the OP for this subject was trying to find out if D.C. was now after CPMs or just Karen as a CPM? 13 pages of posts later, any idea?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:13:46, go back and read my comment above. And then STHU.

I've read it. Nothing there about the risk of the BABY's death.

She said she'd get the c-section. Let it go.

Not the PP you are responding to, but she said she would get the c-section rather than put her own life at risk.

Your implication is really sickening. Seriously, STFU.

He who curses loudest wins? Not a very good debating strategy there. I find your post sickening.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Where have folks read that this breech birth was in the footling position? Or is that an assumption?

Unfortunately, I think people jumped to that because we were talking about what kind of breech babies Dr. Tchabo and others would and wouldn't consider.

I don't think it was necessarily a footling breech, at least not to begin with. The reviewer on the link a couple pages back (if it is this mother) mentions that the baby moved during labor to no longer being in optimum position for breech delivery. From that I infer the baby probably started out frank or complete breech and then moved to footling. I've read in other places that complete breech babies can often shift to footling breech during labor.

Right, but by the point Tchabo saw her I assume the baby was footling, as he delivers complete breeches vaginally and wouldn't have turned away a frank breech unless there was also some other complicating factor, to my understanding.

It's possible. It's also possible that he turned her down because he just couldn't fit her in. We can't rule that out. If she was trying to transfer to him very near her delivery date he might just not have had room for more patients on his schedule.

Having almost had a breech delivery with him and having contacted him very close to my due date I would wager that he would not deliver her vaginally, not that there was a scheduling conflict. In my case the baby shifted from frank to footling and that risked me out.

[Anonymous]

This Web site keeps getting longer:

http://www.kentuckymidwives.com/Headlines.html

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:13:46, go back and read my comment above. And then STHU.

I've read it. Nothing there about the risk of the BABY's death.

She said she'd get the c-section. Let it go.

Not the PP you are responding to, but she said she would get the c-section rather than put her own life at risk.

Your implication is really sickening. Seriously, STFU.

He who curses loudest wins? Not a very good debating strategy there. I find your post sickening.

Not debating, just pointing out what a jerk you are.

[Anonymous]

To settle things once and for all. Dr. Tchabo was consulted. He said he would attend her birth if he was in town (apparently he was going to be away briefly), otherwise she would have to have a c/s because no one else in the hospital had enough experience attending breeches. THe baby was NOT footling. The parents did not like those odds. They chose Karen. The baby got stuck, it was NOT footling. The baby got out, was resuscitated and sent to the hospital. They put the baby on life support. 3 days later the parents decided to take the baby off life support. The charges are practicing medicine w/out a license, practicing midwifery w/out a license, child endangerment and manslaughter. She is facing 30 years.

[Anonymous]

Anonymous wrote:To settle things once and for all. Dr. Tchabo was consulted. He said he would attend her birth if he was in town (apparently he was going to be away briefly), otherwise she would have to have a c/s because no one else in the hospital had enough experience attending breeches. THe baby was NOT footling. The parents did not like those odds. They chose Karen. The baby got stuck, it was NOT footling. The baby got out, was resuscitated and sent to the hospital. They put the baby on life support. 3 days later the parents decided to take the baby off life support. The charges are practicing medicine w/out a license, practicing midwifery w/out a license, child endangerment and manslaughter. She is facing 30 years.

Very sad. The OB/GYNs and the insurance companies that wiggle the docs' arms and legs like puppets should be ashamed. Why are there not more OBs that can do breeches? Why can Dr. Tchabo be the only one in this area? Why is he not teaching his skills to everyone? How was it that my brother and I were born breech (frank for me, incomplete for my younger brother) in the 1980s, and it's a fact that my mom often forgets to mention when recounting our births because it happened all the time and was nothing to talk about ? The pain and burden that everyone involved in this must be feeling is beyond comprehension.

[Anonymous]

Thank you.

[Anonymous]

Wow, interesting. Thanks for clearing that up.

[Anonymous]

Anonymous wrote:

Anonymous wrote:To settle things once and for all. Dr. Tchabo was consulted. He said he would attend her birth if he was in town (apparently he was going to be away briefly), otherwise she would have to have a c/s because no one else in the hospital had enough experience attending breeches. THe baby was NOT footling. The parents did not like those odds. They chose Karen. The baby got stuck, it was NOT footling. The baby got out, was resuscitated and sent to the hospital. They put the baby on life support. 3 days later the parents decided to take the baby off life support. The charges are practicing medicine w/out a license, practicing midwifery w/out a license, child endangerment and manslaughter. She is facing 30 years.

Very sad. The OB/GYNs and the insurance companies that wiggle the docs' arms and legs like puppets should be ashamed. Why are there not more OBs that can do breeches? Why can Dr. Tchabo be the only one in this area? Why is he not teaching his skills to everyone? How was it that my brother and I were born breech (frank for me, incomplete for my younger brother) in the 1980s, and it's a fact that my mom often forgets to mention when recounting our births because it happened all the time and was nothing to talk about ? The pain and burden that everyone involved in this must be feeling is beyond comprehension.

I don't know enough about breech babies myself, but I can't help to think that there is probably a legitimate reason for why more OBs don't deliver breech babies vaginally. I'm no c-section advocate, and I hate how they are resorted to in situations where labor has simply stalled, etc., but I just can't believe that almost the entire medical establishment (which says breech baby = c-section) is somehow wrong...

[Anonymous]

Anonymous wrote:
Very sad. The OB/GYNs and the insurance companies that wiggle the docs' arms and legs like puppets should be ashamed. Why are there not more OBs that can do breeches? Why can Dr. Tchabo be the only one in this area? Why is he not teaching his skills to everyone? How was it that my brother and I were born breech (frank for me, incomplete for my younger brother) in the 1980s, and it's a fact that my mom often forgets to mention when recounting our births because it happened all the time and was nothing to talk about ? The pain and burden that everyone involved in this must be feeling is beyond comprehension.

It is sad.

Do you see all the questions on this forum about malpractice? That is why no one in the OB field is doing breech - people want a pocketbook to hit when less than perfection occurs. Docs can't afford to have anything less than a perfect birth, or the lawyers come flying after that malpractice money.

Hope that the midwives don't have to start practicing like that - because of families and their attorneys out for malpractice $ when bad things happen with no one at fault.

[Anonymous]

Anonymous wrote:

I don't know enough about breech babies myself, but I can't help to think that there is probably a legitimate reason for why more OBs don't deliver breech babies vaginally. I'm no c-section advocate, and I hate how they are resorted to in situations where labor has simply stalled, etc., but I just can't believe that almost the entire medical establishment (which says breech baby = c-section) is somehow wrong...

It's absolutely driven by the insurance companies. Doctors routinely deliver breech babies in Europe.

[Anonymous]

An OB I trust said that the studied outcomes of breech birth were such that she felt she could not justify doing a breech instead of a c-section.