+ Reply to Thread
Results 1 to 7 of 7
  1. #1
    Join Date
    Apr 2011
    Posts
    599
    Thanks
    362
    Thanked
    413
    Reviews
    0
    Achievements:Topaz Star - 500 posts

    Default Is low intervention always best?


    Compensation for alleged negligent birth
    A SEVEN-YEAR-OLD girl and her family have received an interim $1 million payout because a public hospital allegedly botched her birth, causing permanent brain damage.
    Her parents, who are suing Mt Barker District Soldiers Memorial Hospital, say the situation has put them through hell and ruined their marriage.
    They claim the mother endured a horrific labour because she was left without appropriate care during the delivery in January 2003.
    The hospital has paid $1 million into a trust fund which can be accessed to pay for improvements to the child's lifestyle. It was described as an interim payment and is not an admission of liability.
    Documents lodged with the court say her parents intend to use the money to buy a $645,000 purpose-built house for a disabled person, as well as more than $300,000 in equipment, treatment and respite care.
    In the documents, the father describes his situation as "hell" and said he recently suffered a nervous breakdown.
    The documents say the parents' marriage has been "completely ruined" and the father - who had worked as a head chef at various Adelaide restaurants - was finding it difficult to care for his daughter's needs.
    "(He) is very angry at the obstetrician at the hospital, he would like him to know what it is like living with his daughter," a psychologist's report says.
    "He knows that accidents will happen but this was completely avoidable. (The mother) believes her daughter is trapped (in her body), she believes her daughter is mentally aware and alert to what is happening around her," it says.
    "(He) says he does not feel like a father, he does not want any celebration on Father's Day."
    They claim the hospital failed to seek "alternative medical advice" when it became apparent the resident obstetrician could not be contacted, despite several attempts to page him.
    They say the hospital failed to continuously monitor the girl's heartbeat, using a cardiotocography machine, when "such monitoring was indicated in the circumstances".
    They also claim the hospital "failed to administer epidural pain relief in a manner that would facilitate continous CTG monitoring" and did not "exercise appropriate clinical judgment in relation to the woman's rapid dilation".
    The report says the couple needed the urgent financial assistance to alleviate their "intolerable" situation.
    Chair of Disability Speaks David Holst yesterday said it is "impossible" for the general community to grasp how stressful it is to care for a severely disabled child.
    "It would cost the State Government up to $200,000 per year to provide around-the-clock support if it was available, but that would be unlikely," he said.
    "About 85 per cent of marriages which have a disabled child collapse. The rate of depression for families with severely disabled children is double the national average.
    "Anyone who thinks this family has had a financial windfall should swap places with them."
    After the father's breakdown, the hospital made the interim payment of $1 million into the family's chosen trust account last September.
    In its defence, the hospital denies the parents' claim that the baby was in foetal distress during the pregnancy. It also claims its attempts to resuscitate the girl shortly after her birth were "appropriate" in the circumstances.
    A spokeswoman for Health Minister John Hill said the department could not comment on the matter as it was still before the courts.
    The matter will next appear in court in October.
    http://www.adelaidenow.com.au/news/s...-1225873728579




    This is just something I have been musing…. I know on BH, people often ‘protest’ intervention, foetal monitoring, etc. during the labour & birth. Whenever I hear of how people are very opposed to intervention (Often as a result of a bad experience), I think of the story of my local hospital being sued because they did not intervene in a birth. Basically - The parents claimed the baby was in foetal distress, the hospital says the baby was not. The parents are saying an epidural should have been given and the baby should have had continual foetal monitoring. The parents say that from a lack of intervention, this caused their baby to be born with brain damage.

    Now just to provide some background into the hospital (I gave birth at this hospital) – they believe in natural and active labour, low intervention, etc. There is not an anaesthetist at the hospital 24/7 – they have to be called in for an epidural, so you are told beforehand that you will be unlikely to receive an epi for pain relief, only for an emergency (eg, c section or forceps, etc). So you are basically told beforehand, if you want a birth that is highly monitored, given max pain relief, etc. it is not the hospital for you. (There are plenty of ‘bigger’ hospitals within a ½ hour drive that will provide this). It is also not staffed by dr’s 24/7, but an ob will be called in when a labouring woman is coming in. They only accept low-risk births, as they do not have the same resources, etc. as a bigger hospital. For ‘me’, this hospital really suited my birth wishes, I wanted a natural birth & had a wonderful water birth with lots of fantastic support. I know it isn’t for everyone, and some people choose not to birth there because they want the option of an epi for pain relief, etc.

    So, I guess for any birth, the middies/ obs are have to make a judgement call…. Do I intervene, even if it might make birth less pleasant for the woman, or do I leave her continue to birth naturally at a risk of something going wrong? I know a lot of people on here have said they have had unnecessary C sections – but what if the ob thought – ‘it’s a 50/50 chance this c sect is unnecessary, but that’s not a risk I am willing to take’. This would result in a lot more intervention, but a lot less risk involved, and less cases like the one described in this article. I do really feel for obs – they have to make very difficult judgement calls with each birth as to whether or not to intervene, and if they choose to intervene, there may be a lot of unhappy women who may have had unnecessary c sections. If they choose not to intervene, they may have people living with a child with a disability. I guess I do really understand their predicament, and I know my point of view is biased because my hospital really only intervenes if they deem absolutely necessary. I know a lot of other hospitals do a lot of unnecessary intervention…. but then they’ve probably never been sued for not intervening if they should have done so?
    So I feel like this is a ginormous ramble, but anyway, just something I think about when I think about hospital intervention!

  2. The Following User Says Thank You to Cinderella82 For This Useful Post:

    Arusaamatus  (25-01-2012)

  3. #2
    headoverfeet's Avatar
    headoverfeet is offline The truth will set you free, but first it will **** you off. -Gloria Steinem
    Join Date
    Nov 2007
    Location
    Australia
    Posts
    18,954
    Thanks
    3,142
    Thanked
    4,892
    Reviews
    1
    Achievements:Topaz Star - 500 postsAmber Star - 2,000 postsAmethyst Star - 5,000 postsEmerald Star - 10,000 postsRuby Star - 15,000 posts
    Awards:
    100 Posts in a week
    "Only about 15% of medical interventions are supported by solid scientific evidence...This is partly because only 1% of the studies in medical journals are scientifically sound and partly because many treatments have not been assessed at all." Richard Smith, editor of the British Medical Journal

    Do you want the red pill or the blue pill?

  4. #3
    Join Date
    Oct 2011
    Posts
    1,935
    Thanks
    393
    Thanked
    1,325
    Reviews
    0
    Achievements:Topaz Star - 500 posts
    I found it impossible to assess this case because of lack of info.

    There would be a huge amount of women suffering permanent ill effects from unnecessary c-sections - I mean the whole thing works both ways.

    Someone close to me just had a baby by repeat c-sec and the baby's arm was broken during the c-section (how!!)

    I don't know what happened in this instance but if there was no fetal monitoring I think it's a cause for concern.

  5. #4
    headoverfeet's Avatar
    headoverfeet is offline The truth will set you free, but first it will **** you off. -Gloria Steinem
    Join Date
    Nov 2007
    Location
    Australia
    Posts
    18,954
    Thanks
    3,142
    Thanked
    4,892
    Reviews
    1
    Achievements:Topaz Star - 500 postsAmber Star - 2,000 postsAmethyst Star - 5,000 postsEmerald Star - 10,000 postsRuby Star - 15,000 posts
    Awards:
    100 Posts in a week
    This is interesting..

    ‎"A review of 21 studies comparing births attended by certified nurse midwives or physicians found no difference in infant outcomes between the 2 groups, and less use of interventions such as labor induction, episiotomy, and epidurals by the nurses.

    The review, published in the January 2012 issue of Women's Health Issues, also found reduced incidence of perineal lacerations and a higher likelihood of breast-feeding in births attended by certified nurse midwives."

    http://www.medscape.com/viewarticle/756922?src=mp

    Kind of goes with this quote

    "Unfortunately, the role of obstetrics has never been to help women give birth. There is a big difference between the medical discipline we call "obstetrics' and something completely different, the art of midwifery. If we want to find safe alternatives to obstetrics, we must rediscover midwifery. To rediscover midwifery is the same as giving back childbirth to women. And imagine the future if surgical teams were at the service of the midwives and the women instead of controlling them." Michel Odent, MD



    Sent from my iPad using Bub Hub app

  6. The Following 2 Users Say Thank You to headoverfeet For This Useful Post:

    jenrose  (25-01-2012),Witwicky  (25-01-2012)

  7. #5
    Join Date
    Oct 2007
    Posts
    22,839
    Thanks
    6,199
    Thanked
    16,883
    Reviews
    10
    Achievements:Topaz Star - 500 postsAmber Star - 2,000 postsAmethyst Star - 5,000 postsEmerald Star - 10,000 postsRuby Star - 15,000 postsDiamond Star - 20,000 posts
    Awards:
    Bubhub Blogger - Thanks100 Posts in a week
    Quote Originally Posted by Thermolicious View Post
    "Unfortunately, the role of obstetrics has never been to help women give birth. There is a big difference between the medical discipline we call "obstetrics' and something completely different, the art of midwifery. If we want to find safe alternatives to obstetrics, we must rediscover midwifery. To rediscover midwifery is the same as giving back childbirth to women. And imagine the future if surgical teams were at the service of the midwives and the women instead of controlling them." Michel Odent, MD



    Sent from my iPad using Bub Hub app
    Give birth back to the midwives. Ob's should only be for emergency situations yet so many women use them for natural birth and wonder why they end up with so much intervention.

  8. The Following 3 Users Say Thank You to delirium For This Useful Post:

    jenrose  (25-01-2012),kbf2plus2  (25-01-2012),Witwicky  (25-01-2012)

  9. #6
    headoverfeet's Avatar
    headoverfeet is offline The truth will set you free, but first it will **** you off. -Gloria Steinem
    Join Date
    Nov 2007
    Location
    Australia
    Posts
    18,954
    Thanks
    3,142
    Thanked
    4,892
    Reviews
    1
    Achievements:Topaz Star - 500 postsAmber Star - 2,000 postsAmethyst Star - 5,000 postsEmerald Star - 10,000 postsRuby Star - 15,000 posts
    Awards:
    100 Posts in a week
    Quote Originally Posted by delirium View Post
    Give birth back to the midwives. Ob's should only be for emergency situations yet so many women use them for natural birth and wonder why they end up with so much intervention.
    The "hire a surgeon, get surgery" thing!



    *disclaimer, yes I realize this isn't always the case (I myself used an OB for my first birth and didn't get surgery) but compared to MW, OBs do come with a hire intervention rate which increases the risk of further intervention, see the cascade of intervention for more details..


    Took the Red pill.

  10. #7
    Join Date
    Oct 2007
    Posts
    22,839
    Thanks
    6,199
    Thanked
    16,883
    Reviews
    10
    Achievements:Topaz Star - 500 postsAmber Star - 2,000 postsAmethyst Star - 5,000 postsEmerald Star - 10,000 postsRuby Star - 15,000 postsDiamond Star - 20,000 posts
    Awards:
    Bubhub Blogger - Thanks100 Posts in a week
    Quote Originally Posted by Thermolicious View Post
    *disclaimer, yes I realize this isn't always the case (I myself used an OB for my first birth and didn't get surgery) but compared to MW, OBs do come with a hire intervention rate which increases the risk of further intervention, see the cascade of intervention for more details..


    Took the Red pill.
    The Ob I had with DS was brillant. His intervention rates are very low, to the point I've heard a number of women complain he refused to approve an elective based on not wanting the pain of a natural. So there are fantastic ones out there...

    Research proves though they are the minority..


 

Similar Threads

  1. Does anyone know any Ob's with low intervention rates?
    By NaturalBirth in forum Natural Birth
    Replies: 36
    Last Post: 09-12-2012, 07:08
  2. Going to start early Intervention for Ds what should we expect.
    By Confusedmum12 in forum Parents of Children with Special Needs
    Replies: 1
    Last Post: 12-06-2012, 12:01
  3. *spin off* when were you induced and did you need intervention
    By jennibear in forum Pregnancy & Birth General Chat
    Replies: 60
    Last Post: 29-01-2012, 11:30

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
free weekly newsletters | sign up now!
who are these people who write great posts? meet our hubbub authors!
Learn how you can contribute to the hubbub!

reviews
learn how you can become a reviewer!

competitions

forum - chatting now
christmas gift guidesee all Red Stocking
Nice Pak Products
Australian Made and Owned. The Baby U Goat Milk Skincare range is enriched with soothing goats milk sourced from country, Victoria. Goat's milk has a pH level close to that of our own skin and contains natural sources of amino acids and vitamins.
sales & new stuffsee all
Wendys Music School Melbourne
Wondering about Music Lessons? FREE 30 minute ASSESSMENT. Find out if your child is ready! Piano from age 3 years & Guitar, Singing, Drums, Violin from age 5. Lessons available for all ages. 35+ years experience. Structured program.
Use referral 'bubhub' when booking
featured supporter
TPS Health Physiotherapy and Pilates
TPS Health Physiotherapy and Pilates has three clinics located at Morningside, Redlands and Lutwyche. We offer pre and post natal services as well as physiotherapy and Pilates. All clinics offer child minding services so bubs are always welcome!
gotcha
X

Pregnant for the first-time?

Not sure where to start? We can help!

Our Insider Programs for pregnancy first-timers will lead you step-by-step through the 14 Pregnancy Must Dos!