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  1. #581
    headoverfeet's Avatar
    headoverfeet is offline The truth will set you free, but first it will **** you off. -Gloria Steinem
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    Quote Originally Posted by Girl X View Post
    Yes, I did, and while I think it raises some interesting questions, I also think it comes at the discussion from a very clear agenda - just as Mia's article did (although hers did not aim to be a serious one).
    Cool

    ____________________

    Alrighty I'm signing off, it's been..interesting

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    Quote Originally Posted by NancyBlackett View Post
    I didn't mean so much that the patient was charged, but rather the ob is only paid his salary for all births in a week as opposed to billing individually.

    That's how I always assumed the public system worked with the odd exception.

    Whereas at private hospitals the obs charge per birth - combined with the charges the hospital imposes.
    Public obs get a wage. Some also see private patients and they get that money on top of their wage. You can't be full time public and also do private, you have to drop to 0.9 FTE at least.
    So for a public patient, the ob gets no more money for a CS. just more work.
    I'd have to look up Medicare but for my natural deliveries my ob billed for my entire care. Antenatal, delivery and postnatal. So the 5k they get for a CS may well include all of that care. A bit more than half an hours work. Did you know surgeons bill like that too? They get one item number for the whole thing, pre surgery, surgery and post op care.

    I admit obs aren't struggling but remember from all that money they make they have to pay for rooms, staff, insurance (I think it's around 8k per month). So remember they don't get to take home all of it.

    I think there are a variety of reasons CS rates are higher in private. I think a lot of it is fear on behalf of the docs, some the woman's preference and some laziness on behalf of the doc. There are a lot of overworked obs out there and some would prefer to deliver at a convenient time of day (very lazy yes).

    Gosh, so much doctor hatred here. Very sad

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    Just wanted to say that the very high rate of c/s in private hospitals cannot be accounted for solely due to maternal requests and demographics. I did an assignment recently and read a couple of journal articles that brushed on this, and although these things do make a very small difference, the main reason is the fact that the pregnancies and births are being managed by obstetricians- surgeons who specialise in complications, and ones who will be sued privately (rather than the hospital) if it is deemed something should have been done when it wasn't. So basically, it still stands that choosing a private Ob for your care is much more likely to get you a whole lot of intervention and increased risk of a CS than if you choose a midwifery model of care.

    FTR, I have chosen a private Ob this time (30 weeks into a twin preg), on advice of my independent midwife that is coming with me when I have these babies. I was going through the public system, as I did for my others, but the others I had midwife care, this time I have to see an Ob there instead. I don't think she's evil, I'm not anti-medicine BUT she has told me what they will do, she is not interested in how I feel about being induced at 37 weeks (routinely), being forced to have an epidural (routinely), continuous monitoring (routinely) etc. I am never asked how I feel about these things, and am told to 'have an open mind'. I've never had a birth plan, I've never tried to control my births, but I DO deserve a say in how I will birth my (low-risk) twins! I have never understood why anyone would risk home birthing in high risk situations til now- its because in the hospital you are given NO SAY whatsoever in how the labour and birth will be 'managed'! If any of my previous hospital births had been traumatic, I dare say I would probably birth these twins at home with the complete lack of respect and autonomy I have been shown at the hospital. Luckily my experiences have all been positive and I have a lot of faith in my midwife to tell them where to go, plus she got me into this Ob who does respect how I feel.

    So yeah I guess I'm saying, don't jump to conclusions about why people made the decisions they did around their births. It's not usually for the 'experience' as is so often assumed.

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  5. #584
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    Quote Originally Posted by Lily of the Nile View Post
    I'm not anti ob, I don't think they're uncaring or a salesman, but I do believe an ob has a different mindset when it comes to birth and labour. They're surgeons, they manage high risk and prefer control because it's what they do.

    And regardless of what they're paid, its alot. $1000 for less than an hours work isn't a bad paycheck. Do 5 of those in a day, one day a week and its no wonder they're driving around in mercs and beamers
    True but I bet they are also paying through the Ar$e for insurance seeing as a lot of people are litigation happy nowdays.

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    Quote Originally Posted by VicPark View Post
    True but I bet they are also paying through the Ar$e for insurance seeing as a lot of people are litigation happy nowdays.
    Not to mention the cost of medical school, the years spent at school, working long hrs in hospitals etc.
    Don't forget the overheads ... Receptionist etc ... There would also be an annual fee to licencisibf boards etc.
    I actually think $1000 is cheap

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    Quote Originally Posted by Thermolicious View Post
    Wrong wrong wrong wrong wrong!!!

    "It’s time to abandon the “too old, too fat, too sick and asking for it" mantra and stop blaming women for the high rates of caesarean births. Instead, we need to address the real problem: we health providers are too often scared, impatient and inadequately informed to give women a real choice."
    url]
    But sometimes women are too old
    And too fat, too small or too sick to
    Birth safely naturally.

    We've moved from Bashing Mia to bashing home births to bashing csecs, to now bashing doctors.

    I don't subscribe to the big bad evil doctor theory. I think that just like mothers/mothers to be there are some great ones, some good ones and some real tossers. I don't think there is a higher rate of dodginess amongst doctors.

    I for one had complete trust in my ob. He knew his stuff. If i wasnt happy at any stage i would have had the balls to say something. If i didnt, that would have been On me. Besides doing a good job he cracked some great jokes during my csec!

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  11. #587
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    Quote Originally Posted by Girl X View Post
    Lovely. I'm resisting the urge to reply "right right right right right" and leave it at that...

    There's no blame involved.

    If I need to have stitches in my arm, then I don't feel as if anyone is blaming me because I need it.

    Older women do have higher risk pregnancies, in many ways, as do overweight women. That's not blaming them. That's just stating a fact.

    And yes. There are women who elect for c-sections too.

    I've had the same feedback from another private hospital in Brisbane that my MIL works at (as a midwife). She sees many women fight against medical advice, sometimes with tragic consequences.

    Sometimes medical intervention is needed. Sometimes it isn't.

    As for people claiming an OB is unnecessary - well, again that is individual choice. But I suspect those people haven't had to see an OB for lengthy periods of time for fertility treatment. As if they had then they would probably be more keen to have that same dr deliver their baby.

    To me my OB is my fertility specialist, and the delivery part is a tiny part of his role.
    Yes I did do fertility with my ob and she was my obgyn for about 10 years. I liked her alot, but it still doesn't mean she could do what I needed and I wasn't one of 'those' women who wouldn't listen. Your assumptions are equally astounding.
    Quote Originally Posted by VicPark View Post
    True but I bet they are also paying through the Ar$e for insurance seeing as a lot of people are litigation happy nowdays.
    C'mon, they're not starving!!!! They really do make some damn good money, I think one of the residents told me they're one of the highest paid in the profession.

    My ob is an older very experienced and well known in the industry, she does private and public work. The best known ob's do public work because of their skills and ofcourse they're not only delivering babies, they do other surgeries and have scheduled days for those aswell. That's why you won't be garuanteed your ob will even deliver you.
    I don't know why people get upset when discussing ob's, some people don't like to see any flaws and there are alot. You might believe the sky is green because your ob told you it is, I don't see how that makes you better, it means you'll believe anything your told without doing the research for yourself.

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    Quote Originally Posted by Lily of the Nile View Post
    You might believe the sky is green because your ob told you it is, I don't see how that makes you better, it means you'll believe anything your told without doing the research for yourself.
    My Ob would never tell me the sky was green because he is one of the good ones. Just on the off chance he did, I wouldn't hesitate to call bs on him.

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    Can't we whinge about midwives instead of doctors? The midwives I saw through my pregnancy were a waste of space... Didn't tell me anything I hadn't already read off google. They did test my per every visit, but that looked easy enough I could have done it.

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    I know I'm taking the bait but what else did you want them to do? You're not sick!.....


 

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