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Subject:	Trust Birth Conference
Body:	<div class="NTForums_Quote">Posted By Henci Goer on 01/17/2008 11:27 AM<br><P>Most notably, the research evidence is in a 1987 <?xml:namespace prefix = st1 ns = "urn:schemas-microsoft-com:office:smarttags" /><st1:State w:st="on"><st1:place w:st="on">Missouri</st1:place></st1:State> study of  home birth. There was an excess rate of neonatal death among the planned home births compared with hospital birth, but the excess was confined to the segment attended by those who were not members of the Missouri Midwives Association. <?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p></P> <P>Schramm WF, <st1:place w:st="on"><st1:City w:st="on">Barnes</st1:City> <st1:State w:st="on">DE</st1:State></st1:place>, Bakewell JM. Neonatal mortality in <st1:State w:st="on"><st1:place w:st="on">Missouri</st1:place></st1:State> home births. Am J Public Health 1987;77(8):930-5.<o:p></o:p></P> <P>It is extremely unlikely that we will ever have "solid research" in unassisted childbirth given the difficulties of mounting a study on this topic. That being the case, I hold by my logic-based argument: we know there are situations where a skilled pair of hands and modest equipment can put things right or stabilize a woman or baby for transport. Therefore, if these are lacking, disaster may ensue. (I am aware, by the way, of one case where it did.)<o:p></o:p></P> <P>Turning the tables, where is your “solid” evidence that women are sufficiently in tune with their bodies in labor that they will know to move into the hospital? Or that unassisted birthers can take care of complications themselves? Without training or prior experience and with the emergency happening to a loved one, my prediction is that those present would be just as likely to be overwhelmed and paralyzed as not. <o:p></o:p></P> <P>Nonetheless, to restate my position, I respect the right of women to make their own decisions, and I agree that sometimes a woman may be better off with no professional birth attendant than with the ones available to her.<o:p></o:p></P> <P>-- Henci<o:p></o:p></P></div><br><br>
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