No, you incoherent mess. A significant portion of EMEREGENT C-Sections are performed under general anesthesia. Which you clearly understood in LITERALLY the last comment you made. I can’t tell if you’re trolling at this point, or just willfully obtuse.

And you’ve provided zero evidence to support that. Mostly because it’s an incorrect assertion.

And I don’t really have a problem with those centers, but I don’t think your N of 1 means that a majority, or even “a lot” of birthing centers are that close to a hospital.

No the fuck it isn't. A GP doesn't open your chest and bypass two coronary arteries before realizing they need a CT surgeon to finish the other three, and they CERTAINLY aren't going to do it in their goddamn living room.

Let’s see if I can get this straight:

Who are all great midwives I'm sure- until an intervention they're unqualified to perform is required.

1. An epidural is not, in all cases appropriate anesthesia for a caesarean.

I don’t even know what that’s supposed to mean. Does a random tech somehow add to patient safety, or are you arguing that there is routinely physician/surgical backup available at most birthing centers? Because neither is correct.

But if their “back-up” is an off-site physician, it doesn't do much good until they arrive at the hospital, now does it? Telemedicine is about as useful as a two-legged donkey in Obstetrtics.

This is why medicine isn’t performed by lay-people.

Where did you do your anesthesiology residency? Because that’s why they don’t want you to eat- so you don’t aspirate the contents of your stomach if/when we put a breathing tube in. But hey, in today’s world I guess even “evidence” is subjective.

Oh- my bad!. I guess I must’ve been hallucinating every time a midwife handed me a hypotensive mother who was exhausted and still laboring after 9 hours, or a baby with a 5min APGAR of 4.

Yes- because neither the Naturopathic Doctor, nor the nurse midwife have the ability to perform an emergency c-section. So, should that (or any other number of emergent, life-saving procedures) become necessary, they call 911 and (hopefully) a paramedic arrives to take mom and/or baby to the hospital.

There have been several meta-analyses and retrospective studies re: in-hospital vs. out-of-hospital births. The best evidence available suggests that early and overall infant mortality is lowest for in-hospital births: http://www.ajog.org/article/S0002-…00275-0/abstract

And don’t forget that if/when things go wrong at a birthing center they’re going to hand your partner and/or newborn to (at best) an overworked and likely inexperience paramedic, or someone with even less training so they can haul ass to the place you could’ve been in the first place. Why introduce unnecessary risk,…

I have the 7-Quart model. It’s glorious.

I have the 7-Quart model. It’s glorious.

I agree, but don’t they sort of have a point? If we get into censoring “offensive” trademarks I don't know where that stops.

Reached for comment, Michael Vick stated he was familiar with the process of removing time for good behavior.

That’s why I still think it’s a dumb rule. There’s still some arbitrary, subjective point that the referees are gonna have to say a receiver “became a runner.”

Pereira finally explained this to my satisfaction this week: