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Expectant and Postpartum Moms
Reply to "Evelyn Muhlhan - another homebirth midwife bites the dust?"
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[quote=Anonymous][quote=Anonymous][quote]It has always been weird to me that doctors not affiliated with the child in question get to be the complaining party when things like this happen. [/quote] it's because they are in the position to know when proper procedure wasn't followed. They are peers, and are able to determine whether the midwife took unnecessary risks. [/quote] I'm sorry, but I disagree. See the rest of my posts about peer review and specialization. If a woman transfers into the emergency department of a hospital after a failed home birth, or a successful home birth and a baby with complications, she will be evaluated first and foremost by the staff of the emergency department. By and large, those are not obstetrical personnel. They're ER personnel. Also, I doubt they are always in a position to know when proper procedure was followed or not. When emergencies happen, a lot of time proper procedure goes out the window. If we are talking about manual removal of the placenta being outside the standard of care, that happens in hospitals. It happens in birth centers. I don't disagree that there are situations where protocol is not followed or where unnecessary risks were taken. I just believe that there are many situations in which people make different judgment calls about things, especially during emergencies. I am hesitant to believe anything I read on Dr. Amy's blog because I find her to be a totally repulsive person who I disagree with (both ideologically and tactically), but the list of complaints she came up with sound to me to be about 50% legitimate and 50% BS. Cue finger pointing about how would I know since I'm not a midwife or an OB, but there is a huge difference of opinion on whether HBAC is a good idea or not. It's professionally controversial, which indicates to me that the standard of care is evolving and cannot be pointed to as the one, unchanging gold standard for practice.[/quote]
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