Stage 2 Consequences

Much of what passes for legislation these days seems to be feelings based and reactionary. With litte time given to debate or deep thought. As long as it feels good there is no concern whether once implemented it will actually do good. The Affordable Care Act (Obmacare) is the penultimate example of stopping at stage 1 thinking…

Ethics Under Assault

It’s a story that seems all too common; the recurring harassment of supportive and optimistic doctors willing to collaborate with midwives. Honest and brave doctors who want to provide evidenced based options to women are forced into a choice of business survival vs. professional morality. The power of the big over the small, the bully…

Safety or Cognitive Dissonance

(Posted with permission) A couple months ago I cared for a woman in labor who strongly desired a VBAC. In the two years since the birth of her daughter by cesarean section for breech she had struggled with anxiety and some mild depression. This lovely woman had done her research and educated herself about breech…

Art Class or Martial Art Class, a primer on choices

Recently there have been a series of original research papers and some review articles favorable to what I have been advocating for several years. Articles supportive of the safety of home birthing have come out recently. Possibly in response to the flawed Wax paper. The catalyst for these papers could be a return to sanity…

Rainy Day Philosophy

Living in Southern California has many advantages. One is the absence of snow days and another is the rarity of rainy days. Life slows down for me on a rainy Sunday morning. No place to run to. Horseback riding cancelled. Cat asleep at my feet. The sound of the wind and rain on the roof…