As for requesting the records, I've attended hundreds of births, at home, in birth centers, and in hospitals. What gets WRITTEN DOWN usually bears only a slight resemblance to what actually happened.
I've seen a doctor with white powder on his nose and upper lip rush into the OR to catch a baby who had been crowning for a WHILE. Did the nurse charting bother to mention the white powder on his nose and upper lip? No. Did she record the fact that he was more interested in donning a mask than in donning gloves? No. What about the fact the in taking extra tie to don the mask, he increased the risk of that baby falling more than 3 1/2 feet onto the floor since the baby was being born (past crowning to actual expulsion of the head and shoulders) as the doctor stood there fiddling with his mask? Nope, not that either.
At a home birth with a direct entry midwife, where the midwife yanked the uterus out (the cervix came out of the vagina, but not the entire uterus) by pulling on the cord less than 5 minutes after the birth, did that get written down? Yes, because I was charting. Did it stay in the chart for more than 2 hours? No, because the midwife rewrote the WHOLE page to her liking. Did I ever get invited to assist her again? Of course not. Not that I would have, anyway. But she's still practicing 15 years later!
At the birth center birth where the well-respected granny midwife ignored clear signs of preeclampsia (or whatever you prefer to call it these days) -- raging headache, soaring BPs, scotomata, pitting edema, marked proteinuria. When the mother finally had a seizure and cardiac arrest, what happened to the chart in which I had charted all of the above? It was rewritten, squeaky clean, within 60 minutes of the time the mother was transported -- rewritten by a midwife who stayed behind for that express purpose. A midwife who had not even attended the woman in labor. Even the prenatal care part was rewritten. I later fetched the real record out of the trash from behind the birth center. I brought it to the midwifery peer review -- that was a joke, and the end of my career.
People wonder why I UC rather than hire midwives. Unfortunately, as awful as hospital care can be, here where I live, the home birth care is just as scary.
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