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Posts by mwherbs

The Ontario study on vbac had over 3000 - the stats on rupture for in hospital is 1 in 200 so there should have been aprox 15.
I agree with you Mothercat in informed concent... And even. Looked at and adopted that vbac, workbook, you recommended.
I think good peer review associations, along with jointly processing broad data and putting together protocol lists... Are ways to improve outcomes- many of the "rules" were developed from what midwives knew at the time they tried to reform some were extensive like when OMC was in high sway and others were more or less outlines like the protocl list written into Az rule- but static things like az rule that havent been changed and somethings are dated and the midwives...
well the studies I posted are the ones used to say that midwifery deaths are 3 x the risk-in the analysis done by the U of A - neither of those studies came to those conclusions- and if you look at medical definers of low risk--the births being attended at home are not across the board "low" risk  for that matter hospital based CNMs dont do only Low risk-- either   match up the true categories of risk- so many breeches, so many twins, so many vbacs- and for hospital...
To be clear- when we are looking at national stats on "other midwife" - that does not mean Only low risk births. It does mean multiples, breeches and vbacs, and probably other higher risk births- the CDC that commented on the consumers of home birth are older moms- and by their own definitons older moms are higher risk as a baseline.... Match up the risk categories and stop glossing midwifery as a low risk only situation.
And this is basically the wonder pages info- "other midwife" has a really wide definition --- J Perinatol. 2010 Sep;30(9):622-7. doi: 10.1038/jp.2010.12. Epub 2010 Feb 25. Infant outcomes of certified nurse midwife attended home births: United States 2000 to 2004. Malloy MH. Source Department of Pediatrics, University of Texas Medical Branch, Galveston, TX, USA. mmalloy@utmb.edu Abstract OBJECTIVE: Home births attended by certified nurse midwives (CNMs) make up an...
The Hutton article--- here is an abstract Birth. 2009 Sep;36(3):180-9. doi: 10.1111/j.1523-536X.2009.00322.x. Outcomes associated with planned home and planned hospital births in low-risk women attended by midwives in Ontario, Canada, 2003-2006: a retrospective cohort study. Hutton EK, Reitsma AH, Kaufman K. Source Faculty of Health Sciences, Midwifery Education Program, Department of Obstetrics and Gynecology, McMaster University, Hamilton,...
So that same time period of the Hutton article, midwives in Ontario were attending VBACs at home. Here is an article specifially on VBAC attended by midwives in Ontario- http://ojs.library.ubc.ca/index.php/cjmrp/article/view/184065/183892
Part of getting clean clear info is to make midwifery legal in every state- secondly stop making it like a condition of continued practice is perfection - so a solid real look not a contrived look- are there things we can be better at? on a regional level ... on a national level... how can that be found if midwives cannot even look at big pieces of info and compare-   we would just like the other providers have to see if a new idea is posing problems or is of use . and...
The Arizona review they included the Wax study in their analysis, side commented on its controversy but left it in - and the Wax study thew a bunch of gobbdlygook into the mix- including the Pang study--- which concluded that anyone who had a birth out side of the hospital was intended- even though the health department had been keeping track of the midwife births in Washington state-     so one or 2 badly done and bad studies poisons the whole lot... they were suppose...
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