anyway, i asked him over dinner what did he do when a baby was breech. he looked at me like i was insane and said "DO? what do you mean what did i DO? i delivered the baby for god's sakes!"
and then i said a bit about how the protocol now is for the OB to do a c/s when the baby is breech, and he shook his head disgustedly. he said "if i had to perform surgery every time a baby was breech i would have never gotten out of the OR."
he then got kind of fired up and said "they don't teach them a damn thing except how to cut and you know why?" and i of course answered "money," but he contends that it's not money in the way i'm thinking, like billing, but insurance and the tendency for people to sue over anything. so if a doctor has a woman come in with a breech baby and he doesn't do a c/s, and there's ANYTHING wrong with the baby, he gets sued and his insurance skyrockets, effectively putting him out of a job.
i just thought it was interesting to hear from someone on the other side so to speak.
baby was breech!:
My SIL is in labor as we speak! She has been in the hospital since last
night and is not 'progressing.' She is supposedly overdue a few days
and they induced. I say the baby just isn't ready yet....give the baby
time. The doc says 'we'll do a c/s in 10 hours if nothing progresses by
the way my mom tells it is pretty funny. she said she "felt something down there" and made my dad look and there was my foot, just dangling out like i was checking the temperature or something. :LOL
while she was sitting around?
Well my SIL ended up delivering vaginally afterall! She started to dilate
and 'viola' and baby girl.
Of course, the dictor didn't realize either that it was twins, or that they were breech.
Yep, it's all about malpractice insurance. We shouldn't kid ourselves - the sad thing is, the cover-your-ass malpractice protocols are so NOT evidence-based that they result in MORE lawsuits. Go figure.
as for me, my mom had issues with premature labor with every one of us (10 pregnancies). so she was actually in the bed hooked up to an IV of alcohol, to "Relax the womb." so i guess i was drunk and fell out. kind of set up a pattern for the college years.
Pretty soon doctors won't know how to do vaginal births at all anymore.
Perhaps, in order to be licensed physicians, doctors should have to attend a certain number of homebirths with midwives so they can learn how to do stuff.
I'm reading Ina May Gaskin's Spiritual Guide to Midwifery and in the breech birth stories from back in the 70s, the doctor is willing to deliver them but cuts huge episiotomies. A couple of them he wanted to do in the hospital under general anesthesia.
I agree that doctors today are way, way too intervention- and section-happy, but I wonder whether we haven't traded one set of asinine OB practices for another. I for one wouldn't get all nostalgic for the good old days quite yet.
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Maybe I can email him some articles about birth or something and ask him how things have changed since he started. I'm probably the only weirdo in the family who is interested in hearing about how he practiced his skills.
Before women wanted to go to hospitals, he caught all the town's babies at their homes. A lot of baby boys in that area grew up with his first name.
According to my grandmother he would "give the mothers hell" telling them to breastfeed and not to circumcise.
When the people couldn't pay, he wouldn't bill them and then when the kids were grown and wanted their birth certificates, they would come to him to pay for the birth, which cost $35.00.