One More Way Hospitals Can Endanger Your Baby

Today, Mychael Darthard-Dawodu became the most recent newborn kidnapped from a hospital by someone posing as a nurse.

My wife is a certified doula and childbirth educator (though she isn't taking any clients at present, due to my school schedule). When we lived in Phoenix, she volunteered her time and knowledge to pregnant teens at Florence Crittenton. She is an expert on childbirth and a strong advocate for women's choice in childbirth. If you ask, she will gladly explain in great detail the risks posed by an epidural, the alarming national rate of birth by cesarean, the problems with pitocin, and a host of other medical issues that strongly recommend natural childbirth... and having your baby somewhere that is not a hospital.

Many of these issues (which I will not elaborate upon here) tie into what I would like to suggest is a growing problem with our society and, consequently, a growing problem with our medical system, and that is the problem of efficiency. A scheduled induction is efficient. Forceps and episiotomies, efficient. A scheduled cesarean, even more efficient.

Central nurseries instead of in-room care? Now that's efficiency. And it introduces a safety problem completely unrelated to the medical problems hospitals routinely introduce.

I have heard that some hospitals keep babies in the same room as their mothers. I would like to applaud those hospitals. They are off the hook (for the rest of this conversation, anyhow). If no one but the parents of a child are authorized to remove that child from the hospital room, if it were not so common and even expected for nurses to whisk your baby away for routine care, we would not have to read about Mychael.

Before you OB nurses decide to have an old-fashioned lynching, let me just say that I know this is not an entirely common occurrence. I realize that some women want a break after labor, especially if they've been pumped full of drugs. I know that hospitals are often busy and frequently troubled financially; under such circumstances, efficiency must surely be a tempting motivation. But consider a (more or less) one-in-a-million chance that it is your baby that disappears, then consider this: is in-room care really that much more difficult?

Of course there will occasionally be medical circumstances that require a separation of infant and mother. But by and large, babies are born healthy; were it not so, our species would not have lasted long enough to invent hospitals. In those healthy cases, why not just leave mother and child together? Aside from arguable benefits to psychology, to breastfeeding, to bonding, and so forth, it's apparently the safest thing to do!

I admit to some bias; both of my children were born in free-standing birth centers with excellent midwives and compassionate nurses. My children did not leave the room they were born in until it was time to go home. There was no chance of mixup, no opportunity for kidnapping. On top of the peaceful environment, the excellent care, the freedom from insanely restrictive liability-induced hospital policy... my children were born safe.

It's a bias with which I am comfortable.

Comments

Matt

I agree that alternative birthing methods can be better in almost every way.

Here is my worry ->

Can you envision a scenario where a severe complication arises and the delay in emergency treatment, brought on by not being in a hospital, costs the mother or baby their life? Are all the benefits worth the increased risk of losing the mother or child? History tells us loud and clear how risky giving birth can be.

It seems like such an obvious observation - so I am sure you have an answer. What am I missing?

Well...

While I’m sure such a scenario is theoretically possible, I cannot think of how it would happen. The thing is, while childbirth can be risky, virtually every risk can be ascertained well in advance of labor. Risks inherent in labor itself can be deadly, but usually it takes a lot of time–and again, such risks are generally recognizable well in advance.

Free-standing birth centers and well-trained midwives will see problems and transfer to hospitals quickly. You will occasionally hear stories of amateur midwives whose obsession with natural childbirth places a mother in unnecessary danger, but that’s why you screen your midwife. Ironically, because of this people will often screen midwives more thoroughly than they would screen doctors!

You’re not missing anything, really. Life is always partially risky. The question is, do you take the miniscule risks that you’ll have either way, or do you allow the hospital to intorduce new risks on top of the ones that are naturally present?

Matt

I just read an article that claims "Home births were at least twice as likely to result in foetal death as hospital births". It then goes on to quote someone else saying "There is some evidence to show that for very low risk women, a home birth may be safer than a hospital birth."

I guess I just need to find unbiased relevant statistics on the matter and the question will be answered! Anyone know what I can find such a thing?

Book

Well, first note the difference between home births, births assisted by certified nurse midwives (who are medical professionals) in free-standing birth centers (a place to have a baby that isn't a hospital), and doctor-assisted hospital births. A lot of the "home births" in that "double" statistic will include women who seek no prenatal care at all, as well as women who cannot afford prenatal care or an assisted birth of any kind.

In other words, the difference is not about the hospital! I don't know the infant mortality rate in the U.K., but basically what this statistic tells you is that maybe 2 or 3 times out of 1000, a hospital is better than nothing at all. d^_^b

Check out the book The Thinking Woman's Guide to a Better Birth. It has a lot of good information.

Ultimately, the best thing to do is arm yourself with a lot of information. There are some doctors out there who will not suggest unnecessary c-sections, who will respect the mother's right to choose the birth she wants, who won't medicate your wife into complications that would not have otherwise occurred, and so forth. But they are the exception rather than the rule. Many doctors will even create a problem and then fix it, assuring you afterwards that they "saved your baby." They want you to think you're getting your money's worth I guess.

Basically, if your wife has a normal pregnancy, then most doctors don't know how to deal with that ("when all you have is a hammer..."). A lot of OB/GYNs get literally a 4-6 week course on normal pregnancy and childbirth. Certified Nurse Midwives, on the other hand, spend years learning about normal childbirth, and how and when they need to involve a doctor. As far as I'm concerned, they represent the best of both worlds, both in terms of infant mortality and in terms of a positive birthing experience.

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