Word: cheyney
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...thing, even Cheyney admits that while the odds of mortality in the case of routine births may be no higher at home than they are in the hospital, they're no lower either. And even the lowest-risk birth can turn high-risk fast - with maternal hemorrhaging and fetal distress just two of the dangers - making immediate access to high-tech care imperative...
...Cheyney's conversations with physicians turned up other, more complicated issues. When hospital-based obstetricians see midwives and their clients it's usually because something has gone wrong and the laboring mother is rushed in for care. OBs don't see the uneventful births that proceed successfully at home. What's more, doctors in this position find themselves not just being forced to take on someone else's case, but someone else's problem. That's enough to sour them on the entire profession...
...been getting a lot of insight into their world view," Cheyney says, "and it's been illuminating...
...what it means to have a positive outcome at the end of a delivery," she says. "Basically it just means that everyone's alive. But when you don't have a lot of medical intervention, you also tend to have more breast-feeding and reduced rates of postpartum depression." Cheyney acknowledges that the kinds of mothers who choose midwifery might be the very kinds who would be less inclined to suffer postpartum depression or nursing problems in the first place, and her study addressed such so-called sampling bias...
Some of the debate may be resolved this summer, after Cheyney and a colleague draft new guidelines to help midwives and doctors work together more cooperatively. It will, she says, be "a model for collaborative care that will be the first of its kind in the United States." Even Cheyney's critics would have to agree that, if nothing else, she does walk the walk. She spoke with Time, but only briefly, grabbing a brief break while her infant daughter was taking a nap. Her one-week-old baby was born at home...