Ugh - just realized I'm on the birth professionals thread again...thought this was the other thread, from B&B...
Originally Posted by bailefeliz
Sorry to have elicited such vitriol from you, storm bride.
I'll freely admit it's not hard to elicit vitriol from me on this particular topic. Birth professionals, especially the vast majority of the ones in the hospital, like to claim the right to make decisions for birthing women. I've been on the receiving end of that far too many times. Hearing people stick up for it pushes every button I've got.
|I am speaking from a public policy/consumer safety perspective. In my mind, State licensed and reimbursed midwifery implies certain safeguards: evidence based standards of practice, oversight and regulation, mandatory data collection.
Yeah...and I'm not interested in "oversight and regulation", except in a very
limited sense. If midwives want
to be licensed and operate under the restrictions and safeguards that come with that licensing, that's certainly their right. I don't agree with licensing requirements for all midwives.
I'd also like to see a whole lot more evidence
based standards of practice, instead of "everyone else is doing it" based standards.
|I in no way want to "kick women in need to the curb". Despite a passion for home birth, I have chosen to work in hospital to help in the ongoing work of humanizing even the most high risk births. And we have come a long way. I work with incredibly sick Mamas and babies and women from extremely varied, complex, and vulnerable social situations---and I know that the vast majority of these women feel nurtured, embraced, safe, and empowered by their birth experiences.
Congratulations. It sounds as if you work at a truly exceptional hospital. I have yet to deal with a hospital employee who has a clue how I feel about my "birth" experiences. I have to say that I haven't seen you post anything here that suggests that I would feel nurtured, embraced, safe or empowered by your care. (And, I'm truly not trying to take shots. You just exhibit the same "I know what's best for you, and you don't" attitude that has driven me to PTSD, PPD and thoughts of suicide on multiple occasions.)
|If women want to remain at home with high risk conditions, or employ unlicensed midwives, that is their choice. But personal preferences cannot be the sole basis for developing standards of practice for licensed professionals. Evidence, data, and working models must be given considerable weight.
I'm very confused now. I thought we were talking about unlicensed professionals. As there are places who require licensing of anyone attending a birth, saying that women have the choice to employ unlicensed midwives is kind of irrelevant. There are people who want that choice taken away, and actively work to take it. Those midwives can face criminal prosecution, in many places, simply for allowing a woman to try for the birth she chose.
|This thread is in response to a meta analysis attempting to establish outcomes of Ooh birth management. The outcry is that the study is flawed, and that the results are erroneous. That may well be. But we truly have no idea with the current lack of data. My response is that we need to establish true outcomes through mandatory data collection.
The only person I've seen state that the study is flawed has read the study and says it's flawed, based on how it was structured. If the meta analysis includes flawed studies, then better data collection isn't going to help.
I just hope my daughters still have options
when they reach their childbearing years, instead of being forced into a nightmare like mine. I wouldn't wish the "care" I got on my worst enemy, let alone my own children. A hospital might be fine for some people, but it was a hellish place to have children for me. The fact that I could be cut against my refusal and then given no choice but to go back, because an OB caused me to be considered high risk, is sick
. I did still have options, but there are lots of people who don't like that, and you do sound like one of them.