This test was posted at http://hospitalbirthdebate.blogspot.com/
This is your essay test:
1. What are the pros and cons for the US to have a SYSTEM of respectful partnerships between OBs, FPs, CNMs, and CPMs (to give adequate, necessary care that allow women to choose and be responsible?)
2. Who is responsible for the outcome of the outcome of ten months -- other than the mother?
2a. How does gestation and mother's life impact the labor and birth and who is truly "responsible" for the "outcome?"
3. To what degree and how is the medical or midwife caregiver legally responsible for the mother's choices, birth experience, and outcome?
4. How can obstetricians in the US decrease maternal and infant mortality? If you don't have an answer and are fine with the current situation of the maternal and fetal mortality, that will tell us a lot.
** here's what I replied ***
1) The Pros of a respectful partnership are Mother centered care with a focus on helping her see birth as a normal thing. An empowering birth leads to better breastfeeding, and a more confident mother. A more confident mother leads to fewer ER visits and "is this normal" frantic nightime calls to the ped. The Con is that it doesn't support the economy as well. Lower hospital costs, and less long term care doesn't push around as many dollors.
2) Sorry, I pick Mother. I am the keeper of my childrens health, until I empower them to choose for themselves. Just because the docs said it was a good idea, doesn't relieve me of my responsibilities. Okay, if I can't pick Mother, I'll pick the internet, where I can do random research.
2a) A healthy pregnancy lays the foundation for a lifetime of health. That's one of the benefits of a midwife, she helps with eating a healthy diet, and feeling well spiritually. Prenatal Scare is a poor way to start out. When the doctors take all the power, it leaves Mom in poor shape to care for a newborn, and dependant on the professionals.
3) Legally, doctors are free to cut you against your wishes. Midwives are to be hunted for any outcome, even optitmal ones. If you planned to birth in the hospital, and the cytotec kills, it is just God's will. If you birth a genetically incompetent baby at home, they say it's your fault, it would have somehow survived in the hopsital.
4) Support homebirth. Provide care when transports present at your hospital. Most doctors in my area will not do backup care, and would rather you labored alone at home, than with a midwife.