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Re:What a Midwife Wishes People Knew About Her Job by DanBC on Monday May 06, 2019 @04:04AM (#19837604)
As a counter to this point there have been scandals in England (eg Morcambe Bay, but there are others) where midwives killed babies through a combination of incompetence and arrogance, creating a dysfunctional culture that promoted midwifery to the exclusion of other professions - all because they had an unrealistic belief about "normal birth".

Normal birth is defined here: https://betterbirths.rcm.org.uk/resources/read/defining-norm...

Here's the Kirkup report: https://assets.publishing.service.gov.uk/government/uploads/...

Here's the RCOG response: https://www.rcog.org.uk/globalassets/documents/news/rcog-res...

The RCM dropped their campaign around "normal births" shortly after Kirkup, and launched "better births": http://www.rcmnormalbirth.org.uk/

A news report that's a nice summary: https://www.theguardian.com/society/2017/aug/12/midwives-to-...

In England it seems the safest option is to have a mid-wife led birth with medical help available. Having a consultant obstetrician available appears to decrease rates of intervention, not increase them.

Re:What a Midwife Wishes People Knew About Her Job by Causality1 on Monday May 06, 2019 @04:12AM (#19837639)
Oh definitely. Giving birth outside of a hospital is a bad idea.
Re:What a Midwife Wishes People Knew About Her Job by spraak on Monday May 06, 2019 @05:05AM (#19837852)
Not at all. Hospitals are lately notoriously unclean and eager to intervene and interrupt. A home setup can be very clean and healthy, and the hospital can still be there as a backup if extra equipment is required. Our midwives were quite equipped, though. Oxygen, IVs, fetal monitors, etc. Most of all, it's comforting at home, especially at such an important time
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Re:What a Midwife Wishes People Knew About Her Job by alexandercrohde on Monday May 06, 2019 @09:26AM (#19839165)
What's called for is research, not name-calling and doubting motivations.

There IS absolutely objective and scientific justification to challenge the way things are done at hospitals.

"In the United States, C-section rates have increased from just over 20% in 1996 to 33% in 2011.[3] This increase has not resulted in improved outcomes resulting in the position that C-sections may be done too frequently.[3]"

Now, how do all the factors weigh out? That's the research I'd like to see an informed and non-emotional party try to do. Most "opinions" on the topic only detract from the discussion.

https://en.wikipedia.org/wiki/Caesarean_section

Re:What a Midwife Wishes People Knew About Her Job by souprock on Monday May 06, 2019 @06:16PM (#19844488)
It is important to consider long-term effects. It is very easy to only look at the immediate survival of the baby or of the mother. Subsequent births are endangered by C section scars. Each scar is an area of uterus that is deficient in multiple ways.

The eagerness to perform a C section is taking away the choice to have a large family. Early on, I didn't even know I'd want to choose a large family. If the first birth had been a C section, then ones afterward would more likely be C sections also, and I would have never gotten the chance to have a dozen kids. You can't have a dozen kids with a uterus that is turned into mincemeat.

To allow for the possibility of having a large family, avoiding that first C section is important. All the interventions that increase the chances of it (epidural, induction, etc.) should thus also be avoided.

Re:What a Midwife Wishes People Knew About Her Job by spraak on Monday May 06, 2019 @12:36PM (#19841040)
Thinking about my children's welfare is /exactly/ what I'm doing by choosing homebirth. So many mothers are coerced into unnecessary C sections and other dangerous interventions at hospitals. Homebirth is a great way for the mother to actually be able to relax and birth safely. I choose homebirth because I'm being unselfish and thinking of the mother's and child's health
Re:What a Midwife Wishes People Knew About Her Job by otabdeveloper1 on Tuesday May 14, 2019 @11:04AM (#19910202)
Yeah, you're right. Many hospitals encourage bad practices like gratuitous C-sections. (But then again many home birth proponents also encourage bad practices.)

I guess I'm saying that one should be less emotional at this point and more cautious and rational.

Re:What a Midwife Wishes People Knew About Her Job by sneak on Monday May 06, 2019 @08:43AM (#19838864)
To quantify, at least in the US: your baby is twice as likely to die during birth in a birth outside of a hospital, compared to a birth at a hospital.
Re:What a Midwife Wishes People Knew About Her Job by dragonwriter on Monday May 06, 2019 @08:55AM (#19838955)
And this despite the fact that higher-risk deliveries are more likely to occur in a hospital, so that if the environments were equally dangerous, you'd expect the stats to tilt the opposite direction.
Re:What a Midwife Wishes People Knew About Her Job by spraak on Monday May 06, 2019 @12:57PM (#19841301)
Source? I've never heard that and it sounds like fear mongering. Homebirth, for example, is statistically very safe
Re:What a Midwife Wishes People Knew About Her Job by DuskStar on Monday May 06, 2019 @01:42PM (#19841840)
How much of that is Simpson's Paradox, though? What I'd think of as 'homebirths' are typically informed, prepared, healthy mothers with no known complications...