Word: birth
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...first baby in a hospital but plans to have her second--due in late August--at home. "Interventions that neither the mother nor father wish to occur are more likely when surrounded by people who view pregnancy as an illness or labor as inherently dangerous," she says. "I consider birth sacred and a joy, and I intend to birth my baby in a way that reflects that...
...biggest champions of home birthing is former talk-show host Ricki Lake, who produced the 2008 documentary The Business of Being Born. Lake and other activists contend that fear of litigation has led to more women in labor being tethered to monitors and forced under the knife. And pro--home birthers are pushing the notion that choosing where and how to give birth should be regarded as a civil rights issue. "Legislating against home birth is totally un-American and unfair," says Joan Bryson, who has worked as a midwife in New York City for 17 years. "We rank 42nd...
Most planned home births are assisted by a midwife, although some extremists favor so-called free birthing, with no attendant. Home-birth midwives say they accept only low-risk patients, which excludes women with diabetes, high blood pressure, multiple births or any other risky condition. Most midwives--who typically charge from $1,000 to $5,000 per birth, significantly less than the cost of a hospital delivery--travel with basic emergency medical equipment, including oxygen, resuscitation gear and medication to stop hemorrhaging. And all insist they practice preventively and know when--and how--to get a woman to a hospital...
Take, for example, the case of a prolapsed umbilical cord. In roughly 1 out of every 300 births, the cord slips down into the birth canal before the baby does and risks cutting off the baby's oxygen supply. Kitty Ernst, an expert on midwifery at the Frontier School of Midwifery and Family Nursing in Hyden, Ky., says midwives are trained to push the baby's head back up off the cord and hold it there--the same way an obstetric nurse would--and get Mom to the hospital as an operating room is being prepared for her. "Your hand...
...those precious minutes that have obstetricians alarmed. "Unless there's ready access to certain emergency personnel and equipment and even surgery, you're potentially endangering babies' and moms' health and lives," says Dr. Erin Tracy, an ob-gyn at Boston's Massachusetts General Hospital who authored two anti-home-birth resolutions approved by the AMA in June. "We've all seen scenarios where mothers came in, after very major blood loss, in a very catastrophic state," she says. "By the time they arrive in the hospital, you're sort of behind the eight ball in trying to resuscitate these patients...