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I can’t tell who’s dumber. The parents or the “midwife”.
I can’t tell who’s dumber. The parents or the “midwife”.
She charges a pretty high rate to boot. Medicaid only reimburses me $1500 for total OB care including delivery.
If you read the article, it seems as though the “midwife” made it clear she is not a medical provider. It also seems she warned the family of the risks of a breech birth. As long as she made her credentials clear and got TRUE informed consent, how is the “midwife” at fault?
This was a terrible outcome. But every bad outcome doesn’t need to result in a payout and jail time. Sounds like this family was explained the risks and elected a home birth. Yes, the outcome could have been prevented, but the family has the right to choose whatever “foolish” (in my opinion, but I respect their right to choose) decision they want in terms of their medical care. How was this child abuse/neglect?
This case should be used to educate the public on the risks of home birth, but also doesn’t need to blame or cast shame on people who choose to pursue it.
If you read the article, it seems as though the “midwife” made it clear she is not a medical provider. It also seems she warned the family of the risks of a breech birth. As long as she made her credentials clear and got TRUE informed consent, how is the “midwife” at fault?
This was a terrible outcome. But every bad outcome doesn’t need to result in a payout and jail time. Sounds like this family was explained the risks and elected a home birth. Yes, the outcome could have been prevented, but the family has the right to choose whatever “foolish” (in my opinion, but I respect their right to choose) decision they want in terms of their medical care. How was this child abuse/neglect?
This case should be used to educate the public on the risks of home birth, but also doesn’t need to blame or cast shame on people who choose to pursue it.
As should the parents.This is like midlevels practicing medicine and calling it "advanced nursing". This was practicing midwifery without a license. She deserves to go to prison, together will all the other idiots providing home birth "services".
If you read the article, it seems as though the “midwife” made it clear she is not a medical provider. It also seems she warned the family of the risks of a breech birth. As long as she made her credentials clear and got TRUE informed consent, how is the “midwife” at fault?
This was a terrible outcome. But every bad outcome doesn’t need to result in a payout and jail time. Sounds like this family was explained the risks and elected a home birth. Yes, the outcome could have been prevented, but the family has the right to choose whatever “foolish” (in my opinion, but I respect their right to choose) decision they want in terms of their medical care. How was this child abuse/neglect?
This case should be used to educate the public on the risks of home birth, but also doesn’t need to blame or cast shame on people who choose to pursue it.
Don't know if the rules for lay midwives, but for us...there is no such thing as being able to consent to substandard care. You are still screwed if you do something substandard. Even if the patient wants it after being throughly informed of the risks.
I argue this is not always so clear cut. Patients can refuse treatment. A JW can refuse blood transfusion even if they die. That is substandard
As should the parents.
I argue this is not always so clear cut. Patients can refuse treatment. A JW can refuse blood transfusion even if they die. That is substandard
The parents already lost their child. You really think they should go to jail? what would it accomplish?
I definitely agree with you. In fact I think they shoulder the majority of the blame. They were warned and actively sought out a home birth. Midwife just took advantage of a couple dum-dums and gave them what they wanted. Just not sure how sending them to jail helps anyone. It’s just punishing them more after they lost their child. Plus it’s our tax dollars giving them free room and board, right guys?!I think they need to understand they are complicit in this. They cannot stand back and point fingers at the fake midwife and think they do not have blood on their hands.
Nebraska Midwifery Services | Home birth in Nebraska | PMA
Nebraska Birth Keeper is a Private Membership Association that provides midwifery services as an option for pregnant and birthing women.www.nebraskabirthkeeper.com
Why some people choose someone who tinkers with essential oils over a board certified OB/gyn.
I definitely agree with you. In fact I think they shoulder the majority of the blame. They were warned and actively sought out a home birth. Midwife just took advantage of a couple dum-dums and gave them what they wanted. Just not sure how sending them to jail helps anyone. It’s just punishing them more after they lost their child. Plus it’s our tax dollars giving them free room and board, right guys?!
I doubt they were really “explained the risks” in a meaningful way. I mean, is there ANY chance of a healthy birth at home in this situation. “Explaining the risks” is nonsensical.
So here’s a question for all of you sort of in the same vein.....What (if anything) should happen to moms who drink or do drugs during their pregnancy that harms their baby?
I can’t tell you how Upsetting it was seeing these women deliver on the OB floor. We had many frequent fliers, women who birthed baby after baby born addicted to various drugs or damaged by alcohol.
I made the mistake of suggesting this once in front of the OB nurses. I think it’s a great idea, apparently they didn’t appreciate it.Norplant
They’d prefer a tubal?I made the mistake of suggesting this once in front of the OB nurses. I think it’s a great idea, apparently they didn’t appreciate it.
They’d prefer a tubal?
No they prefer that men don’t have an opinion on the reproductive habits of female drug addicts.
To hell with these poor children I guess
No they prefer that men don’t have an opinion on the reproductive habits of female drug addicts.
To hell with these poor children I guess
This lay "midwife" could have simply refused to go along with the home birth. By accepting payment, she's on the hook.I doubt they were really “explained the risks” in a meaningful way. I mean, is there ANY chance of a healthy birth at home in this situation. “Explaining the risks” is nonsensical.
So here’s a question for all of you sort of in the same vein.....What (if anything) should happen to moms who drink or do drugs during their pregnancy that harms their baby?
I can’t tell you how Upsetting it was seeing these women deliver on the OB floor. We had many frequent fliers, women who birthed baby after baby born addicted to various drugs or damaged by alcohol.
This lay "midwife" could have simply refused to go along with the home birth. By accepting payment, she's on the hook.
Ill share an interesting recent story,
I'm called in the middle of the night for a stat c section. AA lady laying on the OR table surrounded by nurses, doctors, refusing care. Tocometer is on, baby is known breech, having late decels. The OB team can not consent her to put an IV in. She fights them away. She speaks creole. Interpreter is called, a discussion goes on for 20-30 minutes where she describes the team as "menacing" and trying to hurt her and her baby. Eventually she relents after about an hour and several requests by her to leave and come back a different day ( keep in mind this is an acute emergency and delivery is impending) . It was hard to stand by for that hour or so knowing that the baby is in danger and the crazy mom is just rambling on and on... So she goes to sleep, GETA obviously. Baby comes out fine somehow. During her hospitalization it comes out that she is a sex worker brought into the country illegally and forced to work for some crime network in the area - horrible. She see social work etc..
Less than 1 year later I meet this same patient. She is causing problems in the holding area prior to her thyroid surgery for goiter. Apparently she developed this after the baby was delivered and now needs surgery. She now has a conservator with her who signs consent and answers some questions. This time she takes an IV and is more cooperative having obviously had some success with her mental illness..
When I tell the surgeon about how I know her from before, from the terrible episode up in OB, she goes on to tell me that the baby had in fact died. The mother brought the baby into the ER multiple times with vague complaints of the baby "being sick" and then once brought the baby in dead - found to have had aspirated details unclear. I still cringe at how she possibly left our hospital in full custody of that poor baby, she was clearly NOT OK for home with the baby.
Well, it’s negligent homicide in my eyes. They refused to listen to advice about their high risk and in the process killed their baby.The parents already lost their child. You really think they should go to jail? what would it accomplish?
Ill share an interesting recent story,
I'm called in the middle of the night for a stat c section. AA lady laying on the OR table surrounded by nurses, doctors, refusing care. Tocometer is on, baby is known breech, having late decels. The OB team can not consent her to put an IV in. She fights them away. She speaks creole. Interpreter is called, a discussion goes on for 20-30 minutes where she describes the team as "menacing" and trying to hurt her and her baby. Eventually she relents after about an hour and several requests by her to leave and come back a different day ( keep in mind this is an acute emergency and delivery is impending) . It was hard to stand by for that hour or so knowing that the baby is in danger and the crazy mom is just rambling on and on... So she goes to sleep, GETA obviously. Baby comes out fine somehow. During her hospitalization it comes out that she is a sex worker brought into the country illegally and forced to work for some crime network in the area - horrible. She see social work etc..
Less than 1 year later I meet this same patient. She is causing problems in the holding area prior to her thyroid surgery for goiter. Apparently she developed this after the baby was delivered and now needs surgery. She now has a conservator with her who signs consent and answers some questions. This time she takes an IV and is more cooperative having obviously had some success with her mental illness..
When I tell the surgeon about how I know her from before, from the terrible episode up in OB, she goes on to tell me that the baby had in fact died. The mother brought the baby into the ER multiple times with vague complaints of the baby "being sick" and then once brought the baby in dead - found to have had aspirated details unclear. I still cringe at how she possibly left our hospital in full custody of that poor baby, she was clearly NOT OK for home with the baby.
Mandatory sterilization. And maybe they need some sort of punishment as well.So here’s a question for all of you sort of in the same vein.....What (if anything) should happen to moms who drink or do drugs during their pregnancy that harms their baby?
I can’t tell you how Upsetting it was seeing these women deliver on the OB floor. We had many frequent fliers, women who birthed baby after baby born addicted to various drugs or damaged by alcohol.
So given the fact that she’s a trafficked sex worker, does not speak the language, and most likely doesn’t look like the nursing and medical staff, can you see no reason why she doesn’t trust you people? It may not be necessarily because she is “mentally ill”.Ill share an interesting recent story,
I'm called in the middle of the night for a stat c section. AA lady laying on the OR table surrounded by nurses, doctors, refusing care. Tocometer is on, baby is known breech, having late decels. The OB team can not consent her to put an IV in. She fights them away. She speaks creole. Interpreter is called, a discussion goes on for 20-30 minutes where she describes the team as "menacing" and trying to hurt her and her baby. Eventually she relents after about an hour and several requests by her to leave and come back a different day ( keep in mind this is an acute emergency and delivery is impending) . It was hard to stand by for that hour or so knowing that the baby is in danger and the crazy mom is just rambling on and on... So she goes to sleep, GETA obviously. Baby comes out fine somehow. During her hospitalization it comes out that she is a sex worker brought into the country illegally and forced to work for some crime network in the area - horrible. She see social work etc..
Less than 1 year later I meet this same patient. She is causing problems in the holding area prior to her thyroid surgery for goiter. Apparently she developed this after the baby was delivered and now needs surgery. She now has a conservator with her who signs consent and answers some questions. This time she takes an IV and is more cooperative having obviously had some success with her mental illness..
When I tell the surgeon about how I know her from before, from the terrible episode up in OB, she goes on to tell me that the baby had in fact died. The mother brought the baby into the ER multiple times with vague complaints of the baby "being sick" and then once brought the baby in dead - found to have had aspirated details unclear. I still cringe at how she possibly left our hospital in full custody of that poor baby, she was clearly NOT OK for home with the baby.
So given the fact that she’s a trafficked sex worker, does not speak the language, and most likely doesn’t look like the nursing and medical staff, can you see no reason why she doesn’t trust you people? It may not be necessarily because she is “mentally ill”.
Were the police notified at all? Or was this just dumped all on the poor social worker? How did some legal authority not jump in somehow in a known sex trafficking case if true?
In this situation the parent was a sex slave who was held against her will.DCS in general is a system that protects the bio parents first. This is a horrible story and one of the top reasons I hated working on OB. We had a “free” clinic service and seeing some of these folks take kids home was truly disturbing.
Do you know if cops were notified? Just curious.believe me she was mentally ill, certainly as a result of what happened to her, but definitely mentally ill
Not just OB nurse, but any pregnant patient.The lesson here is to interact with OB RNs as minimally as possible, especially if you’re a male.
Not just OB nurse, but any pregnant patient.
I got trouble once I asked a patient how many weeks pregnancy when she came for a d/c. She burst into tears and filed a complaint about my insensitivity.
Not just OB nurse, but any pregnant patient.
I got trouble once I asked a patient how many weeks pregnancy when she came for a d/c. She burst into tears and filed a complaint about my insensitivity.
How is that insensitive. It is important information.