Posted by My OB said WHAT?!?.
Posted by My OB said WHAT?!?.
“We Don’t Condone Home Births!”
“We don’t condone home births.” -OB to a mother who was thinking of having a home birth.
Your opinion is duly noted, Doctor. So I won’t ask YOU to attend the birth.
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A friend of mine who is a doctor actually thought it was awesome (his own words) that I planned to have a homebirth. He even suggested some midwives. He was a little uncomfortable with me having an unassisted birth but said he believed in my ability to do it.
He actually offered to attend my friend Emily’s birth (his daughter-in-law) at home, because she mentioned to me in his presence that she thought what I did was cool…but she’s too afraid. *bang head on wall*
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This is why I didn’t even ask my OB what she thought before I switched to a hb midwife. I already knew what she would say. Talking to an OB about thinking of a homebirth is like telling an auto mechanic that you are wanting to take your car to his competition down the street.
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Mama Wears Combat Boots Reply:
August 13th, 2010 at 6:12 pm (Quote)
Exactly. Even my practice of nurse-midwives flat-out did not condone homebirths….so I left them at 36 weeks and had a great homebirth with a CPM!
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Ann Reply:
August 14th, 2010 at 5:11 am (Quote)
In Australia now, they have passed a law that says that private midwives have to have signed agreements with GPs & OBs and said GPs & OBs get final say on how her client gives birth. Not that many OBs will sign off on a woman wanting a HB when there is no incentive for them to do it. They have taken away our right to birth the way we want, no way in the world I am asking someone’s “permission” to birth my baby my way, next we will turn the clock back a couple of decades and lose the right to vote.
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Brittney Reply:
August 14th, 2010 at 11:45 am (Quote)
I’m in the US in South Carolina, and it’s kinda like that here. The DHEC law states that a homebirth midwife CANNOT attend a homebirth unless the patient has been seen by an OB at least 2 times during her pregnancy and the OB has to “sign off” on her at 36 weeks, or you legally can’t have a midwife assisted homebirth.
I am lucky that I have an OB who will sign off, but he’s over an hour away, and he has stopped accepting new homebirth patients
He has told me over and over again that I have nothing to worry about, he will still sign the consent to homebirth form, but he is just not accepting NEW patients… not sure why, he said he can’t discuss it.
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Wendy Reply:
August 14th, 2010 at 2:23 pm (Quote)
This practice is uber-paternalistic, and birth advocates should do everything in their power to fight it. In the U.S. some years ago, a high court ruling made it illegal for physicians to regulate chiropractors with the reasoning that one profession cannot regulate another. Midwives don’t need to answer to physicians for their actions any more than auto mechanics need to answer to rocket scientists.
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Brittney Reply:
August 14th, 2010 at 3:24 pm (Quote)
I absolutely agree! I have an incompetent cervix, so I have to see an OB for most of my prenatal care (at least in the begining of pregnancy, and then at the end to have the cerclage removed), but I have MANY friends who have to go through the ringer trying to find a homebirth friendly OB, and now that mine is no longer accepting homebirth patients, they have to drive 3 hours away just to get “signed off on” by an OB! It’s ridiculous!
NOTE: even with an incompetent cervix, I can still birth normally, without interventions. An incompetent cervix only makes the pregnancy riskier, but after the cerclage is removed, I graduate to “low risk”.
I (along with a few friends
) am planning to start a correspondence midwifery school and hopefully be able to apprentice with one of the 3 homebirth midwives within 3 hours of our town (none actually live here
) and we will be fighting as much as we can for some serious legislative changes. Unfortunatley, the view here is that birth is dangerous (hey I wonder if all the OB’s here are regular readers of “Dr” Amy’s…) and it’s very difficult to get anywhere with anyone…. but we are trying
There’s also a Doula (who’s also an RN, and certified lactation consultant) who FINALLY got SC medicaid to pay for doula services, but unfortunately, she filed her first medicaid patient in Nov (a friend of mine) and she still hasn’t gotten paid! She has also been fighting for womens birth choices, but in over 2 years, hasn’t gotten too far
It really is a shame.
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Susan Reply:
August 15th, 2010 at 3:17 am (Quote)
I wish you the best with spreading the word and trying to get more support for midwives! That’s honestly my biggest hang-up if we move back to the US (living in England at the moment). I don’t want to have to fight for a homebirth. I will fight for it, but wish it didn’t have to be a fight, as it seems to be in much of the US.
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ugh Reply:
August 17th, 2010 at 12:51 pm (Quote)
why would my tax dollars go for a doula? that’s ridiculous.
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Brittney Reply:
August 19th, 2010 at 10:05 am (Quote)
Seriously? You need to do a little bit of research on the cost of childbirth in the US before making ridiculous comments like that.
If you’re SO concerned with how “your tax dollars” are being spent, maybe you should lobby your state reps to make out of hospital births more attainable to low income families and women on medicaid. In fact, maybe you should lobby your reps to make out of hospital birth more attainable to ALL women. That would save BILLIONS of “your tax dollars”.
The average cost of a hospital birth (not including the hospital stay or prenatal care), for a vaginal delivery is anywhere from $5,000 – $20,000. Keep in mind, all of the interventions (pitocin, epidural, even episiotomy) cost money, and that doesn’t even include the cost of a c-section, or the cost to care for the dramatically growing number of iatrogenic premature babies. That means babies that suffer from being premmies because the Dr couldn’t let the baby come when it was ready, but had to induce or cut a whole month before baby was ready, ie, “your baby looks like it will be a big one, I think we should induce you at 38 weeks.” and said baby comes out at 4.5lbs, and with breathing problems, spending 2 weeks in the NICU.
If you consider that the average cost of a midwife for a homebirth (in my area at least) is between $2,800 – $3,500, and that includes ALL prenatal care (unless the patient needs to be seen for additional testing), the birth, and postpartum visits, SC alone would likely save anywhere from 1 to 5 million $ a year if there were more birth centers, and there was more access to midwives and if medicaid actually paid the midwives their entire fee.
In my case, I have to go out of pocket by almost 1000$ because of what medicaid doesn’t pay, and just a refresher, when you’re on medicaid, it’s likely because you’re BROKE. So, I have been doing everything I can to cut back on expenses to save up for this, but I still don’t know if we will be able to afford it.
Now, for the moms who can’t afford it, and do hire a doula (doula costs vary widely, but are usually between $500-$1000), ESPECIALLY moms who are receiving their healthcare on “your dime” according to you, they are statistically less likely to receive these costly interventions, and therefore more likely to save medicaid money. See how that works genius?
And before making a bonehead comment about “your tax dollars”, when it comes to medicaid and low income families, remember, YOU and YOUR kids could very easily end up on medicaid at any moment because of the current economy, and that “your tax dollars” pay for a HECK of a lot more than just me to give birth. Before making rude and completely unnecessary comments, why don’t you ask your county and state what percentage of your taxes actually pays for low income families to have health care. That is the ONLY government help we receive too, so keep that in mind!
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JulietsButterfly Reply:
August 15th, 2010 at 4:24 pm (Quote)
Next door in GA home birth is illegal. I mean, there are ways around it, but pretty much you’re stuck going to a hospital unless you know who to talk to before you’re pregnant.
I’m a bit jealous at your option over there. If I hadn’t found an awesome OB that gave me a birth as close as I could get to home, I’d be really mad. He’s a rare gem. And by close to home, I mean the hospital was around the corner and they’d recently renovated to a more relaxed, homey environment with warm wood tones everywhere, a comfy bed and nice nurses who let me out of bed.
I bet if it were legal, my OB would have saved himself the trip to the hospital and attended a home birth.
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Bamff Reply:
August 15th, 2010 at 7:23 pm (Quote)
I am in GA and having a home birth. I looked around and found a midwife without much trouble. We moved here when I was 30 weeks along (with prenatal care from a home birth midwife in our previous state) and she had no problem taking me in as a patient. I am truly thankful as the only hospital in this area has a 35+% c/s rate.
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Karen Reply:
August 20th, 2010 at 10:17 pm (Quote)
As best I can tell, homebirth midwives in GA practice much more openly than here in AL, where the first rule taught to all nurses, doctors, EMTs, etc, is “Hunt down the midwives!!’ But there are ways around that too. Anyway, home birth isn’t illegal, practicing midwifery is.
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“Condone?” Really?
From Merriam-Webster: to regard or treat (something bad or blameworthy) as acceptable, forgivable, or harmless
For example:
Yeah. I don’t “condone” torture. (Lookee! An appropriate use of the term!)
Newsflash to the OB: You don’t get to condone or condemn homebirth. We’re not petitioning you to make something dangerous or reprehensible legal, or forgive a transgression after the fact. We’re letting you know that we’re interested in a particular kind of maternity care. You get to say, “I’m sorry! I’m not set up to do homebirths!” or “You know, I have a CNM working with me that does homebirths!” But that’s about it. Where it’s appropriate, since this woman’s come to you for healthcare during her pregnancy, you might give her some input about relative risks or concerns given her specific situation. THAT could possibly be helpful, and even in your purview. As long as it’s actually information and not just your fears and/or professional jealousies infecting this mom’s ability to make good choices for herself.
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And I don’t condone verbal abuse, genital mutilation, lying, assault, battery, or falsifying medical records.
Looks like we won’t work very well together.
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CCindy Reply:
August 16th, 2010 at 9:42 am (Quote)
I don’t condone a hopsital with a c-section rate over 15% Hum, no answer??? Oh wait, if they are only taking in 50% of the area births and the other 50% are happening at area homes, and they are nice to transfers, then yes they can have a high c-section rate.
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Look, you can have every right in the world to have your granola-ass home birth and shit/piss/bleed/vomit all over your bedroom in a nonsterile environment with no backup in case anything goes wrong. But that doesn’t mean that ANYBODY, including medical professionals, has to agree with or condone your decision. Don’t like it, tough shit. You’re a special snowflake and you want a perfect ~*~BiRtH ExPeRiEnCe~*~ but nowhere does it say that your doctor has to think you’re right. Something about the years of medical school, internships, and experience gives them the right to disagree with your choices.
And part of why? Well, could be because if anything goes wrong as a result of refusing medical care and having to be transported to the hospital in case of an emergency – you’ll be the ones crying
“BAWWWW MY DOCTOR SAID HOME BIRTH WAS PERFECTLY SAFE OMG LAWSUIT OMG”
Silly granolas. Medicine is for medical professionals.
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Marissa Reply:
December 23rd, 2010 at 3:35 pm (Quote)
It relieves me then that pregnancy and birth aren’t actually medical problems.
And the only place in a hospital that is even close to sterile is a cervix that hasn’t been checked yet. Everywhere else, including the operating room, is loaded with harmful bacteria.
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« “Sure You Can Leave. But, If You Leave, You Will Come Back For A Cesarean.” Next Post
“You Just Weren’t Made To Birth Babies.” »


We don’t support taking business away from us.
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DanaK Reply:
August 13th, 2010 at 4:05 pm DanaK(Quote)
Exactly.
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Jane Reply:
August 13th, 2010 at 5:12 pm Jane(Quote)
And the auto industry doesn’t condone riding bicycles. And WalMart doesn’t condone shopping at Target. And the National Beef Council doesn’t condone vegetarianism.
Many, many things we have learned today.
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Heather P Reply:
August 13th, 2010 at 8:04 pm Heather P(Quote)
Yep. Exactly what I was thinking. Why would an OB be promoting the compitition.
I saw a bus ad for a local hospital birthing center the other day that said they had “Everything you need to birth” or something like that. They now offer water births. Of course, to waterbirth you have to take a waterbirth class, sign a waiver, you can’t have children in the room, pay an extra $100, be lucky enough to have whoever is on call be certified in water births, and a bunch of other restrictions that make it nearly impossible to have a water birth there.
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Jane Reply:
August 14th, 2010 at 4:18 am Jane(Quote)
The Green Hospital required me to take the waterbirth class, which they then cancelled. I asked them whether I’d be considered certified to birth in the water anyhow, since it wasn’t my fault they’d cancelled the only class prior to the birth. The instructor asked me a few questions over the phone and then pronounced me certified.
Seriously, how hard is it to teach someone “Get in the tub, relax, don’t leave your baby under the water after giving birth”?
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Jen Reply:
August 14th, 2010 at 6:31 am Jen(Quote)
Oh crap. Looks like I’m in trouble with OBs, Walmart, AND the beef industry!!
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Jane Reply:
August 14th, 2010 at 6:39 am Jane(Quote)
Just don’t deliver your baby in the meat aisle at a WalMart Super-Center and you’ll probably be okay.
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Jen Reply:
August 14th, 2010 at 7:46 pm Jen(Quote)
Don’t give me any wise ideas…
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sarah Reply:
August 18th, 2010 at 10:27 pm sarah(Quote)
Hmmm..things may be different in Australia but I know obs don’t condone home births here simply because the perinatal mortality rate is three times higher than hospital births. So simply because they want to deal with live bubs, they would prefer mums to give birth in hospital settings.
But of course, everyone has the right to choose, even if their birth choices isn’t compatible with giving the baby the best possible outcome.
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Karen Reply:
August 20th, 2010 at 10:12 pm Karen(Quote)
Um… where did that figure come from? Because as far as I know, home birth with a trained attendant is as safe or safer than hospital birth.
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Marian Reply:
August 24th, 2010 at 1:04 pm Marian(Quote)
Home birth is definitely safer than hospital birth in USA. Our mortality rates for babes and moms is one of the few countries still rising!
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