5 ms·

If you have to deliberately compare to the worst case scenario "with completely unqualified midwives" to try to make your point, then it is not a good point.

FireBeyond 10y ago
True. Though as an EMS provider, I'll definitely say that I've run the gamut of calls to midwifes/birthing centers/home births from "completely competent professional I'd have no issue managing my partner's birth" to "I really need to call the DOH after this". Situations where, upon handing us a cyanotic baby with severely deficient APGAR score (https://en.wikipedia.org/wiki/Apgar_score https://en.wikipedia.org/wiki/Apgar_score) the midwife's primary care was 'respect for the process and the environment', wanting us to take off boots and "try not to be too loud or overactive".
- tropo 10y ago
  If you've already been handed the baby, your boots should be on their way to the emergency room as fast as your truck can go. It really isn't right how you people turn every call into an excuse for searching without a warrant. Unrelated stuff going on in the home or birth center is none of your business.
  - FireBeyond 10y ago
    What on earth are you talking about? "You people"? Unrelated stuff going on in the birthing center? I am describing a situation where the midwife/ doula was MORE CONCERNED with maintaining a "positive and serene energy in the birthing space" (her words) than she was about what we would do to take care of a critically ill neonate. I can assure you, my methodology on such a call is not to "stay and play" but to "stabilize, ideally while transporting". Let alone a fishing trip. To wit, I could not care less what else is going on in the home, be it legal or illegal, unless it directly affects the care I am or need to provide. My reference to DOH was not a "fishing trip", but in regards to a provider who, in my professional opinion, was being actively negligent in caring for what was their patient, until transferred to me. I think your biases are showing.
  - JshWright 10y ago
    I don't see any reference to 'searching'. It is very standard practice for a healthcare provider to give a verbal report when handing over care of a patient, even (_especially_) in a critical setting. You realize paramedics are qualified in neonatal resuscitation, right? While "scoop and run" is absolutely the right thing to do in some cases, if I'm handed a blue baby, I'm going to spend some time in stable, well lit environment getting an airway established. The sooner that happens, the better the baby's outcome is going to be (and it's much harder to do bouncing down the road in the back of an ambulance).
masklinn 10y ago
> If you have to deliberately compare to the worst case scenario What in god's name are you talking about? Infant mortality is the one primary risk of childbirth and the primary measure of perinatal and neonatal care alongside maternal mortality, the risk of the child dying is the very first thing you compare when talking about childbirth. > with completely unqualified midwives And that is a very common risk in the US because most states don't require any formation (let alone certification) to call yourself a midwife.
- MustardTiger 10y ago
  >What in god's name are you talking about? I was very clear, I do not see how you could genuinely be confused. >And that is a very common risk in the US It is not a risk, it is a choice. You don't call up the midwife store and say "send me a midwife" and hope for the best. You choose one. People can choose one that is trained and certified.

FireBeyond 10y ago

True. Though as an EMS provider, I'll definitely say that I've run the gamut of calls to midwifes/birthing centers/home births from "completely competent professional I'd have no issue managing my partner's birth" to "I really need to call the DOH after this". Situations where, upon handing us a cyanotic baby with severely deficient APGAR score (https://en.wikipedia.org/wiki/Apgar_score https://en.wikipedia.org/wiki/Apgar_score) the midwife's primary care was 'respect for the process and the environment', wanting us to take off boots and "try not to be too loud or overactive".

tropo 10y ago
If you've already been handed the baby, your boots should be on their way to the emergency room as fast as your truck can go. It really isn't right how you people turn every call into an excuse for searching without a warrant. Unrelated stuff going on in the home or birth center is none of your business.
- FireBeyond 10y ago
  What on earth are you talking about? "You people"? Unrelated stuff going on in the birthing center? I am describing a situation where the midwife/ doula was MORE CONCERNED with maintaining a "positive and serene energy in the birthing space" (her words) than she was about what we would do to take care of a critically ill neonate. I can assure you, my methodology on such a call is not to "stay and play" but to "stabilize, ideally while transporting". Let alone a fishing trip. To wit, I could not care less what else is going on in the home, be it legal or illegal, unless it directly affects the care I am or need to provide. My reference to DOH was not a "fishing trip", but in regards to a provider who, in my professional opinion, was being actively negligent in caring for what was their patient, until transferred to me. I think your biases are showing.
- JshWright 10y ago
  I don't see any reference to 'searching'. It is very standard practice for a healthcare provider to give a verbal report when handing over care of a patient, even (_especially_) in a critical setting. You realize paramedics are qualified in neonatal resuscitation, right? While "scoop and run" is absolutely the right thing to do in some cases, if I'm handed a blue baby, I'm going to spend some time in stable, well lit environment getting an airway established. The sooner that happens, the better the baby's outcome is going to be (and it's much harder to do bouncing down the road in the back of an ambulance).

masklinn 10y ago

> If you have to deliberately compare to the worst case scenario What in god's name are you talking about? Infant mortality is the one primary risk of childbirth and the primary measure of perinatal and neonatal care alongside maternal mortality, the risk of the child dying is the very first thing you compare when talking about childbirth. > with completely unqualified midwives And that is a very common risk in the US because most states don't require any formation (let alone certification) to call yourself a midwife.

MustardTiger 10y ago
>What in god's name are you talking about? I was very clear, I do not see how you could genuinely be confused. >And that is a very common risk in the US It is not a risk, it is a choice. You don't call up the midwife store and say "send me a midwife" and hope for the best. You choose one. People can choose one that is trained and certified.