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Five Models, Five Perspectives, Five Insights — Real answers to issue of safety & danger in normal childbirth & physiologic CB practices

by faithgibson January 22, 2013

Safety & the maternity-care continuum in an essentially 21st century healthy population: Surely that is one of the most boring titles that’s ever been my misfortune to write and yours to read. But what I have to say is certainly not boring. Turns out that the realistic risks associated with childbirth in the 21st century in developed […]

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Historical Context for Contemporary Obstetrical Policies – a work-n-progress

by faithgibson January 8, 2013

Part 1 ~:~ The most profound change in childbirth practices in the history of the human species The Invention of the American Way of Birth: How healthy childbearing women became the patients of a surgical speciality and normal childbirth was turned into a surgical procedures ‘performed’ by medical doctors under general anesthesia  Most people assume […]

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The Cost of Having a Baby in the United States ~ from Childbirth Connection

by faithgibson January 7, 2013

What is at stake for payers? Not only do unwarranted c-sections create greater health risks for women and babies, this study shows that they also dramatically increase costs for employers and, through Medicaid programs, state and federal budgets. Medicaid programs paid nearly $4,000 more for c-sections than vaginal births, while for commercial insurers the difference […]

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AJOG ~ “Planned home birth: the professional responsibility response” ~ the latest anti-PHB in ACOG’s war

by faithgibson January 5, 2013

Planned home birth: the professional responsibility response Presented at European Congress of Perinatal Medicine, Paris, France, June 13, 2012. Frank A. Chervenak, MD, Laurence B. McCullough, PhD, Robert L. Brent, MD, PhD, DSc (Hon), Malcolm I. Levene, MD, FRCP, FRCPH, F Med Sc, Birgit Arabin, MD Abstract  
 Full Text 
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 References Abstract Patient safety Patient satisfaction Cost-effectiveness Respect for women’s […]

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Commentary on ACOG’s most recent anti-PHB paper: Understanding the issues & beginning a dialogue

by faithgibson January 4, 2013

The full and final version ACOG’s position paper called “Planned home birth: the professional responsibility response” was posted yesterday, January 5th. This paper by Frank A. Chervenak, MD, et al. was first presented at European Congress of Perinatal Medicine, Paris, France, June 13, 2012 and published in the American Journal of Obstetrics and Gynecology (AJOG) November 13, 2012. Introductory comments ~ Today’s post is an overview […]

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