How birth has changed
Original post made on Jan 8, 2008
Read the full story here Web Link posted Tuesday, January 8, 2008, 1:42 PM
on Jan 8, 2008 at 10:16 pm
Deirdre Lyell needs to see a homebirth before she can say that birth in the hospital isn't "harrowing." Women might not be unknowingly drugged, but "autonomy" is NEVER a word I would use to describe a laboring woman's choices in any L&D I've been in since 1983. Even the most progressive hospitals and fabulous doctors are at the mercy of protocols and rules that take Herculian efforts to avoid.
When one sees the true autonomy of a woman at home - where everyone is a guest but the birthing family - there is no way to flagrantly use the term "autonomous" for a woman birthing in the institution called "a hospital."
Barbara E. Herrera, LM, CPM
on Jan 9, 2008 at 7:26 pm
Barbara (or anyone else who knows) -
In a homebirth situation, are there any fetal heart monitors? What are other indications of delivery complications and how do you know what needs to be done, and how quickly? What can you do if there is excessive bleeding when the placenta separates? I want to ask about this in an open-minded way, but I have a cousin who is alive today because he was delivered by C-section when his apparently smooth delivery went bad in an instant, and they were able to start the C-section fast. Likewise, I've heard about totally smooth, normal deliveries followed by some anxious moments when they realize that bleeding hasn't slowed or stopped enough.
These complications may be a small, small minority, but it seems to me I could be talking about two deaths right now instead of two complicated cases, if these women had opted for home delivery. Hospitals may have their downsides, but I'd take a less-than-fully "autonomous" experience rather than a lifetime of regret any day. I'd gladly give up some autonomy to be in the hands of people prepared to save a life on the spot in an instant.
on Jan 9, 2008 at 7:40 pm
I agree with SkepticAl .. when things are going fine, smooth - it seems like a no brainer to deliver a baby at home. However things can go wrong in an instant.
I had a very smooth delivery. Two hours after the delivery, when things seemed absolutely fine, I started hemorrhaging badly. The nurse couldn't find a vein to get IV in - they had to call the chief anesthetist on the staff (long episode .. ) -- the point is, there is a reason to deliver in the hospital. You don't want things to go wrong, but when they do - you better be sure there is trained staff around to take care of you.