OB attended homebirth? - Page 2

[mamamook]

It makes me happy to read everyone's support for my ideas.

Courtenay, I had thought about doing that -- training first as a CPM and then going on to the MD. I wonder if I could do those somewhat simultaneously. There should be significant overlap in the book learning (whether or not there really is, or can be, perhaps some one could enlighten me on).

In any case, there may be enough time, starting when ds will accept being left with dh for more than half an hour (off topic: tried to take dd on a mother-daughter date on monday. it didn't last too long...) until I can start med. school. I'm not sure how much catch up work I'll have to do. That probably depends on how rusty my chemistry is -- or how much the curriculum has changed since I was in school. That might be a long enough period to get most/all of the training as a CPM done. Even if I wouldn't be able to attend homebirths anymore once I got my MD, I think having had that experience would be incredibly valuable and rewarding.

[stockingup99]

You might want to give Dr. Kathy Kleinert (Livonia) a call. She is a family doc, who used to be a midwife. She does homebirths, but doesn't have mal. ins. She might be able to help answer your questions.

I see her with my whole family.

[cfiddlinmama]

Just wanted to so, it would be awesome to have more supportive back-up drs out there! 28 yrs ago, my mom had a family practice doc attend her homebirth. For the next birth, he wasn't doing homebirths anymore. The hospital bribed him with the "birthing suites" they installed at the hospital. Don't know all the details. She had him for 1 homebirth and 3 hospital births. He was very good to her....

[mendomidwife]

Originally Posted by doctorjen

Hey, now. Cut some of us a little slack

The training is long and hard. Not to mention expensive. You may not care about your income, but if you have $200,000 worth of loans, you may have no choice but to care. Throw in malpractice (which in my state is nowhere near what Pam quotes, thankfully) and you have to make enough money to make a living. You may choose to "go bare" and have no med/mal, but many hospitals will then deny you privileges, and you would may not have the capability to care for your own clients who needed hospital services.

Dr. Jen - Do you have surgery privledges?

The family practice docs we had at our hospital were forced out due to
increasing cost of OB malpractice, (along with the cost of their paying back their educational loans)....and

The OB's pulled rank and had the hospital bylaws re-written to stipulate that any FP doctor with OB privledges must be certified to do C-sections. They backed this up by ACOG regulations.

Carla

[doctorjen]

I have no surgery privileges other than as first assist or for minor things that can be done without an OR (repair of 3rd and 4th degree laceration for instance.)

So far, this had not been any kind of problem in rural practice where I am. The only issue I've faced just recently is that I will not be able to attend VBACs any longer as our hospital policy now means a surgical provider and anesthesiologist must stay in house for labor. There is no way to get an OB back up to stay in house for my clients (something he can't bill for) so I won't be able to comply with policy. In our situation, this is more driven my legal fears than by any attempt to drive FPs out, but we are a small hospital with few providers.

[rmzbm]

The OB I had last time is ONLY doing homebirths now. He is a TERRIFIC Dr. and person. I'd be seeing him, in a heartbeat, but he CANNOT (not his choice) attend home VBAC's after more than 1 section. He would see me for "prenatal" care but I see zero point to that.