But it makes me wonder — if home birth is so dangerous, as Dr. Amy likes to scream, why would this option be heavily promoted in Scotland, trying to more than double the current home-birth rate? Granted, they’re only trying to increase from the current 2% to a hopeful 5%, which is still only about 400 births per year, but the point is that in Scotland they are not trying to take away the right to a home birth, nor trying to decrease the number of home-births per year, but are trying to increase the number of home births per year.
Ok, if you’re Dr. Amy, right now you’re probably pointing out that (sigh) midwives in Europe are different from midwives in America. Let’s grant that statement for the sake of argument, although I think even you, Dr. Amy, agree that CNMs in America are at least as good as if not better than European midwives. So, why do you not promote CNM-attended home birth? Why is it that CNMs who would attend home births are privately warned that if they do so, they will lose their hospital privileges? (I keep up with one blog written by an L&D nurse who is in the middle of or has just completed her midwifery training, and has been told — or the silence has been deafening — that none of the obstetricians in her area want her in their practices. And she or other commenters has said that this is not an isolated event.) Why do European countries (or at least some of them — the United Kingdom and the Netherlands spring to mind) have midwives primarily in charge of births, and I know that at least England and now Scotland are deliberately trying to increase the numbers of home births, and about 1/3 of all births in the Netherlands take place at home, while here in the United States obstetricians are trying to block home births, regardless of birth attendant?
What is different about Europe? Why is it better, or easier, or safer in Europe to have a home birth — according to their health officials and even some/many (all?) of their obstetricians? Whatever factors come up is what needs to change in America, then. If you think that only CNMs should attend home births, then get outta the way of those that would! What factors prevent CNMs from attending home births? Probably the same ones that prevent them from attending hospital births — the U.S. has approximately a 90% obstetrician-attended birth rate, although certainly 90% of American women do not need a high-risk specialists in charge of their care — Stinkin’ sorry politics, Power struggles, and the like.
We deserve better.