Friday, April 30, 2010

Obstetricians Vs. Midwife?


So I had a friend ask me today if I thought midwives were better than obstetricians. I replied with the following long winded answer:

obstetricians are absolutely needed in a few pregnancies and births and I am thankful they are available. However they are specialists and surgeons and best used in that way
It is like sending everyone with a headache to a neurologist. A neurologist is absolutely needed in a few cases, however, sending them to a family practice doctor first to weed out the other causes for the headache first makes sense. Midwives should be the first providers for a pregnancy and if the pregnancy falls outside of the realm of normal, then the midwife would refer them to an OB and if it is outside the scope of an OB, they would send them to a perinatologist. it's' the way medicine works, when it works right at least.


I do not believe that either profession is better than the other, just that one profession is being overused in a situation that is not appropriate for it (normal pregnancy, labor and delivery). As Dr. House said if you put a patient with fainting spells in front of a panel of specialists the neurologist will see a brain tumor, the allergist will see a food allergy, the endocrinologist will see a thyroid issue, the gastroenterologist will see celiac's disease, and the cardiac specialist will see blood pressure issues. But if you send that same person to a Family practice doctor then s/he will discover the patient simply isn't sleeping enough at night!! Each of those specialists would have ordered an barrage of tests that were not at all needed, and those tests would have shown a few questionable results that would have lead to more tests and possibly extremely invasive procedures such as surgeries! Or at least, something like that, you get the idea (not sure how Dr. House put it LOL! I was probably too busy drooling over Hugh Laurie to notice exactly what he said..... :P~). Midwives are the guardians of normal, and should be used as such. Obstetricians are surgeons, and should also be used as such.

So there is my take on the obstetrician vs. midwife question!

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