Tag Archives: midwives

No, OBs are not accountable

I was reading this post from the skeptical OB today

as you may or may not know, I was banned from the skeptical OB for calling Dr Amy out on being a fence sitter on the issue of date rape. Remember that any time she complains about being “silenced” by home birth bloggers for asking uncomfortable questions. She does the same thing to people who think there isn’t a neutral zone when it comes to rape.

IN this specific post Dr Amy says a survivor of sexual abuse who had several cuts to her perineum done to her body against her will during labor, by an OBGYN isn’t experiencing violence. She doesn’t even condemn the behavior of the OB at any point. She laments a series of home birth deaths in australia, one of the summaries she quotes points out that the mom chose home birth because she had been treated so poorly in the hospital. The only violence in birth is when the baby is injured? Here is as close as she gets to saying anything condemning that horrible physician:

Don’t get me wrong. I’m not claiming that hospital care is perfect. Although there is rarely any violence, there is a great deal of poor and disrespectful treatment.

Beforehand she literally says that the baby being inside the woman fundamentally changes the interaction. She talks as though women are simply vessels for children, and that being such a vessel fundamentally changes the way that a woman would experience having her gentials repeatedly cut against her will. The lack of empathy is very telling. The woman who was cut against her will, over and over, well before crowning, should be comfortable going back to the hospital because Dr Amy is apparently the ultimate authority on what constitutes violence or not. Its laughable, especially from a woman who insists that one must be an expert on a topic in order to have an opinion. Dr Amy goes on and on about the inability of midwives to call out their fellow midwives for negligence and damage done to patients, but here Dr Amy does the same thing and ignores deplorable conduct on the part of a gynecologist.  She goes on to say:

However, the chief victims aren’t Western, white, well off women; the chief victims are the elderly, people of color and those of lower socio-economic status.

For a skeptic she sure has an aversion to actually linking to evidence. Being white and college educated are one axis of privilege, but it doesn’t erase being female. It doesn’t erase the fact that women, regardless of any of their other characteristics, are targets for sexual abuse and violence by virtue of being female. Why anyone would believe that this problem vanishes in the hospital is beyond me. One kind of oppression does not erase the other. Dr Amy’s total ignorance of contemporary feminism and social justice movements is showing once again.

ANYWAY, I wish i could comment so I could let everyone know that NO, you don’t have many avenues for redress if your OBGYN decides to do all kinds of shit to you without your consent. You need a ton of money (enough to pay a lawyer for a lengthy and probably fruitless lawsuit). Medical boards don’t give a damn about this, and the doctor and hospitals have better lawyers than 99% of the population.

Women have many legit reasons for choosing home birth, and this is one of them. A lot of the people in the comments section of the Skeptical OB, who claim there are Very Serious Consequences for physicians who do things against your will, are living in a dream world. In the real world, your word doesn’t matter at all. I know from first hand experience. The issue at hand here is that midwives and home birth do not solve the problem. Horrible attitudes from other people about abuses of women during hospital childbirth (including disbelieving the women, rebranding their experiences as “disrespect” instead of abuse or violence, insisting that they will be compensated despite all evidence, etc) makes a vulnerable population easy pickings for midwives. I know that seeing unauthorized procedures done to patients during my time working in hospitals was instrumental in my decision to have an out of hospital birth. I knew that these doctors were not accountable because they did it all the time. There isn’t anything that holds them accountable for these issues. A suit for battery is unlikely to succeed and is hard to pull off. Ignoring the problems won’t make them go away, and will in fact drive more women to seek care from midwives, who at least pay lip service to how damaging abuse during childbirth can be to patients.

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name changes for negligent midwives

The skeptical OB has an article up about negligent midwives changing their names as to deceive their customers.

It happened to me, too. Ester Werbach now goes by “Nueve Lunas Maternity” on the internet. The Utah Midwive’s Association is well aware of it, and my complaints of sexual misconduct, and continue to support my abuser. They don’t care.

These types of actions also make it impossible for women to research their care provider. If you have a health care provider that has killed negligently, had their license suspended, or otherwise been reprimanded their patients have a right to know. Midwives rob women of the opportunity to know what they are getting into.

No, radical feminists did not hijack midwifery

Dr Amy Tutuer has once again strayed far outside her area of expertise to say that radical feminists are at fault for the current natural child birth debacle. No real evidence is provided of that assertion throughout the post, and in fact radical feminists have been the most supportive of my message out of all the different types of feminists I have talked to. I am an avid reader of feminist literature, including books by many radical feminist authors (Andrea Dworkin, Catherine McKinnon, Susan Brownmiller, Sheila Jeffreys, etc) and have seen no support for Dr Amy’s assertions about radical feminist support for underqualified midwives in home births. Her understanding of the humanities is lacking (you can tell when she discusses issues like trigger warnings for abuse survivors, white privilege, rape, and LGBT parents) and I wish she would just stop talking about things she doesn’t know much about. She has a lot of great knowledge about obstetrics and gynecology that needs sharing, when she decides to say ignorant things it makes her extremely easy to dismiss.

If anything, it seems to me like liberal feminists are the ones who are into “crunchy” things like home birth. They have many belief systems that rely just on how a woman thinks or identifies instead of on concrete, reality based observations.

I’ve pointed out before that midwives aren’t feminists, they just use feminist rhetoric to get clients. They will use ANY rhetoric that gets them clients, because at their core these women are either con artists or akin to a deluded cult member. A con artist knows they are scamming someone, and a cult member is so blinded by delusion that they think its okay to lie for it. Anyone familiar with home birth knows that there are extreme left wing and extreme right wing people involved who have found common ground on a few issues (usually home birth and vaccinations) in which to bond over.

 

math is an intervention

math is an intervention

…or at least home birth midwives must think it is, because they seem to have such difficulty with it.

MANA (midwives association of north america) had a voluntary survey to collect outcome data. They found a death rate for HBAC (home birth after cesarean)  of 5/1000, which is much much higher than comparable hospital birth. MANA did not understand that this is equivalent to 1/200, and denied it when it was pointed out to them. Here is what MANA had to say on their facebook page:

…[I]t does show a combined 5 deaths of 1000 (which is not the same as 1 in 200, since 1000 subjects were necessary to find those 5 deaths).

They deleted the post instead of correcting their error. Typical.