Reply to Evelyn Muhlhan - another homebirth midwife bites the dust?

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[quote=Anonymous][quote=Anonymous]I'm not the person you are talking with 15:10, [b]but really, this is a question?[/b] Let's say a woman has multiple section scars and is at higher risk for rupture. Rupture requires surgery as fast as possible. That gives hospitals an advantage.

Or preeclampsia, where the mother may go into a seizure during labor if she isn't properly medicated and even if she is. The seizure requires serious intervention and immediate c-section. Again, surgery is for hospitals.

Are you saying that there are no birth scenarios where the likelihood of needing surgery is high?[/quote]

Yes, really this is indeed a question.  I was curious to know what that poster determined was "high risk".  In my experience, high risk is not black and white.  Not everyone agrees about every single medical condition regarding its effect on mom/baby, the incidence of bad outcomes resulting from that condition, or the necessity of certain treatments to alleviate that condition.  There are always two sides of the story, even when you consult medical research.

For example, you cited "multiple section scars."  The best research we have shows that the chance of uterine rupture -- even in a uterus scarred several times over -- is extremely low; somewhere around 2%.  I'm not refuting medical science or ignoring risks; it's just the actual risk of something might be far different than what the public perceives it to be.  Therefore, I believe the mother, in consultation with the care provider of her choice, should be allowed to make the decision that she feels is appropriate for her birth.

One of the problems with preeclampsia is that it is wildly over-diagnosed.  That said, I've never known a homebirth midwife (and I know many -- even the "underground" types) who have agreed to help a woman birth at home who was TRULY preeclamptic.  [/quote]

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