A major obstetrical body says vaginal breech delivery is a “reasonable option” that can be “almost as safe” as a cephalad (head down) birth for properly screened candidates. However, care for planned vaginal breech births in the United States is often very difficult otherwise. Not available. Because hospital systems don’t have options other than C-sections, some people, like Air Force Lt. Col. Tom Timmerman’s wife, choose to have a breech birth at home to avoid surgery, putting themselves and their baby at increased risk. Masu.
a Recent reports from the National Academies of Sciences, Engineering, and Medicine The doctors said hospitals “have a clear and urgent responsibility to ensure that the safest form of treatment (e.g., planned vaginal breech birth) is available within the hospital.”
Hospital policies need to be reformed to support breech births and respect the autonomy and right of pregnant women and birth mothers to refuse surgery. We need more doctors and midwives with expertise in vaginal breech births to provide that care. Without these changes, I fear this heartbreaking story is doomed to repeat itself.
robin shafer, new brunswick new jersey
The author is an assistant professor in the Rutgers University School of Nursing, Department of Advanced Nursing Practice, and the Robert Wood Johnson Medical School Department of Obstetrics, Gynecology, and Reproductive Sciences.
A November 19 article on midwifery highlighted both the strengths and weaknesses of statutory medical licensing bodies. On the one hand, they provide consumers with a valuable resource for screening potential health care providers. In Virginia and Maryland, you can easily and quickly check a practitioner to see if they are licensed and if any disciplinary action has recently been taken against them.
at some point healthcare extender Meeting unmet needs is encouraged, and educational standards and requirements are also being legally adjusted to accommodate these changes. As a result, it is even more important for consumers to ensure the competency of their chosen practitioner.
In contrast, monitoring the disciplinary activities of medical boards can provide consumers with disconcerting insights into oversight. In many cases, practitioners who are ultimately stripped of their licenses can practice for years while their cases work their way through the statutory process. Additionally, practitioners who commit serious crimes may continue to practice as a result of legal suspension, reprimand, or fine.
Being aware of state health regulatory agency disciplinary actions is an invaluable resource that consumers should utilize as an essential vetting process.
Cynthia Fablet, Williamsburg, Virginia
