Sunday, September 7, 2008

Dr Amy

Well - I have been following Dr Amy - Home birth debate blog- to call it a debate is a bit strong as during a debate you should have a two sided argument. There is no doubt that Dr Amy is an incredibly intelligent person - I not sure if she a women or a man but that dose not matter with very strong opinion on home birth natural childbirth and breastfeeding. Which in its self is fine freedom of speech and all that its just that Dr Amy claim is healthy baby above all and argues against home birth as she believes home birth is not safe with increased risks of neonatal death. This is were the water gets muddy for me - as if Dr Amy was really all about the out come then she would be fighting for humane birth in the hospital setting with women being at the center of care - not Dr convenience and against early induction with no medical reason as both of these out comes contribute to neonatal outcomes. - well I will continue to read.



I continue to work in L&D and every day I am stunned at the behaviour of some of our providers- the last shift I worked a couple turn up in triage in active labour 5cms excited they had been counselled during there antenatal period extensively and had chosen a TOL previous EM LSCS due to breech not found until 7cms. - You guessed it the provided was pissed and did everything in his power to talk them out of a trial he used every scary word in his vocabulary. The couple were venerable and frightened she was in pain and now they were confused - I heard the husband say repeatedly that we have discussed this and you told us the risks have these risks changed. The Dr was frantic he would not let any of the nurses speak with the couple basically he did not want to spent the night in the hospital- all be it a sleep in the Dr lounge. Anyway the couple came to a decision they were sticking with there original plan oh how pissed was the DR- they ended up having a beautiful birth 7 hours after admission no drama no trauma to either the mother or child everyone in the room was crying - the Dr came placed the baby on mothers chest removed the placenta and left he was in the room for no more than five Min's.



Do not get me wrong if a provider does not want to offer a TOL or VBAC then that is their prerogative what I do object to is saying yes in the antenatal period with every intention of trying to change their minds when they are actually in labour I feel this in an issue of dishonesty and very little if no integrity on the providers part.

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