In 2010 Medicare changed the safety net for obstetrics and ivf (and I think 2 or 3 other things?) previously they covered 80% of the cost now they have a set cap (I'm unsure what this is) you'll pay the difference depending on what your OB charges.
I am not for a moment arguing that all intervention is necessary, nor that women shouldn't be fully armed with as much information as possible before their births.
My issues in this thread are twofold.
One relates to the discussion about the article (although I think the thread has gone its own way now), which I really feel was misunderstood. I think some people have interpreted it as saying that anyone who has a birth plan/ cares about how they birth is a birthzilla - whereas to me (as I said earlier) that's akin to saying that anyone who cares about their wedding is a bridezilla.
I have encountered people similar to what Mia describes, and I have known of people (both through MIL as a midwife and also personally) who have made decisions that have gone against all medical advice, because they want to have a particular type of birth experience.
The second part is that there seems to be a high level of OB/ medical system bashing in this thread. I accept that some people have had bad experiences, but I feel as if some people feel that there is a conspiracy amongst all medical staff to do the wrong thing by women, and that if you disagree then you are ignorant/ not a feminist/ brainwashed into believing what a dr has told you.
I find this view to be alarmist and potentially (in some circumstances) dangerous. I don't want to open up another can of worms, but (to me) it resonates of some of the anti-vax philosophies - which I also do not agree with. (Not saying that to try to get into that debate!)
Will refrain from bringing in religion or politics...
Anyhow - I have no doubt that it started the 'cascade of intervention' that everyone talks about. They forgot about me when had a distressed baby in my tummy, like - they literally forgot I was there.
Anyhow, it basically means that I don't have faith in anything to do with childbirth anymore, I don't think I can do it, I don't think they can do it, I have no faith that I will go into a hospital and come out healthy, I have no faith that I will hear a baby enter the world screaming.
But - the reason I chose and ob is so no one would be able to forget me. I was paying him *big* bucks - he had to be there.
When he told me that I'd have to have a c.section for the twins I was so scared. I wasn't just going to go ahead, so I did some reading and he was right - there really wasn't much of a choice. The positioning of the twins meant that there was a huge risk to twin b. So I accepted intervention.
I guess what I really don't understand is the women who refuse it at all costs. Even when it really is needed.
http://www.health.gov.au/internet/main/publishing.nsf/Content/1186FF4200B2B2E6CA2575D9000F73B8/$File/SoOPH 2009 Part 8_Our Maternity Services.pdf page 79 hmmm link didn't work TABLE 8.4 MATERNITY SERVICES — average cost, by hospital type, 2006–07 Public Hospitals ($) Private Hospitals ($) Caesarean delivery with catastrophic complications 13,326 7,353 Caesarean delivery with severe complications 8,805 5,610 Caesarean delivery without catastrophic or severe complications 7,085 5,097 Vaginal delivery with OR procedures and catastrophic complications 7,200 5,027 Vaginal delivery with OR procedures and without catastrophic complications 5,350 4,532 Vaginal delivery with catastrophic complications 5,995 4,535 Vaginal delivery without catastrophic complications 4,205 4,090 Vaginal delivery single uncomplicated 3,462 3,658 Antenatal and other obstetric admissions 2,220 1,436 Antenatal and other obstetric admissions, same-day 580 242
Last edited by delirium; 20-06-2012 at 17:51.
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