Originally Posted by 636Jen
SO TRUE...and so very unfortunate.
I have a lot of respect for UC. In my experience, these aren't women who are ignorant to any risks or are uneducated about birth. A friend of mine is planning a UC for her 7th child in March. The Amish also do it.
Or, you could feel confident that she had a UC with the best prenatal care you could provide.
That's kind of a blanket statement that is not usually true. The Amish don't do it... SOME Amish may, just as some Amish use midwives all the way through, some go to FSBC and some go to the hospital.
There isn't just ONE way they do it, anymore than there is ONE way the English do it.
I've had two UC's myself and I am completely comfortable with them FOR ME. But I didn't deceive a care provider during my pregnancy. The first UC was a planned homebirth WITH a midwife, but with very poor communication between my two midwives, no one came to my house till 1 hour after the birth. This was FINE by me, as everything was fine and I knew what to do. The second was a planned UP/UC. Had I had a midwife for prenatal care I would have been very honest about planning to birth alone.
I think honesty is always the best policy. It may be uncomfortable, it may bring up issues or force someone to seek a different care provider or no care provider at all, but in the end, it's always best to be truthful and upfront.
quote*What is the problem of delineating a baseline of competency for midwives in our country? It's done in lots of other countries with sucess. (hint, look north)
When you look at what I said in context
I was ONLY referring to the fact that Canada has established more clearly and with more sucess a BASELINE of COMPETENCY for midwives to be licensed and "legitimized" NOT that they have achieved perfection or even wonderful choices for SOME women. BUT the majority of women in Canada have more choice in their care provider and they have more access to homebirth across the range of incomes.
The majority of women are NOT dealing with vbac or breech. Absolutely, Canada still has a lot of improvements to make. Absolutely, choice still is a issue for women who are dealing with these issues.
I didn't mean to make it seem like Canada had it all figured out... I don't think there IS a country without healthcare issues and problems. What I meant was that Canada seems to have a more sensible way of dealing with healthcare and licensure of out of hospital births, providing that option to MORE women, regardless of income. From what I have read and learned, there is a more structured path to becoming licensed.
We're struggling here in the US to establish just what a competent midwife IS and how to "prove" that, through what type and path of education and through what type of licensing or not.
It is a frustration that not only do we have to deal with legislators, the public, the media, ACOG/AMA and more subgroups that all have different perceptions and opinions of what a midwife is, what is legitimate/legal/accepted etc, and what a midwife should be able to do in her practice, but we ALSO have to deal with widely differing opinions within our community about what constitutes a midwife and who, if anyone, should be able to regulate/control/licence that midwife.
Email/postings are sometimes such an incomplete way to communicate, but I think it's great to hear all the different views.