Show me the numbers, baby. You must know that many c-sections decided with enough time to place an epidural, are also classified as emergent. I was just saying that the number of c-sections requiring general anesthesia are very low. Because they are. So low, they actually ARE changing policy on eating during labor,…

LOL. Okay. Most c-sections are performed under general anesthesia. That’s what you’re trying to say here? Wow.

I said generals for emergency c-sections are rare. You’re the one who got hung up on c-sections in general.

That’s like saying GPs are great doctors “until” you need heart surgery. No, the GP is still a great doctor for my general needs, and I’m not going to see a cardiologist until I need one. And a good GP will tell you when it’s time for you to see a Cardiologist. Just like a good midwife will tell you when it’s time to…

Yes, we all have our limitations. And midwives are still great midwives while they’re delivering appropriate care, and carefully monitoring when the situation is beyond their scope, and professionally transferring care to the appropriate providers. Dude, seriously, I’ve done a transfer from a birthing center. It…

No, how many laboring women require general anesthesia is a Completely different question than how may c-sections were labeled as emergent. Most c-sections considered an emergency still take at least 30 minutes to prepare for, and usually still resort to an epidural as a first choice, not a general.

Not random techs. Multiple certified nurse midwives.

You wrote,”unless there’s appropriate pre-existing regional anesthesia.” Doesn’t that happen a lot? Yup. Lots of epidurals already in place. Tons of them. And the cases where they’re not already in place, but an emergency c-section is required, are exceedingly rare. The actual stats matter. And didn’t you realize that…

Midwives don’t usually work alone.

I mean, really, I know why Some hospitals have that rule (and they don’t all, and more are moving away from it). But it’s not based on stats! Cause needing a breathing tube for a general while you’re in labor, is really rare. Sometimes people have emergency surgeries at other points in their lives too. But we don’t…

Wait, did you just say laboring for 9 hours? Did you mean pushing? Causing laboring for 9 hours is like, way normal. And it’s not legal for midwives to have zero back-up.

And the percentage of laboring women who eventually end up with a emergency c-section requiring general anesthesia?

No, that’s not how it works. Midwives are very conservative, and transfer you long before it gets to that point. They are also in communication with the actual doctors at the hospital, and if you do transfer, your doctor knows what is going on before you even get there.

As someone who has personally been cared for by several great OBs, I’d still rather have a home birth with a midwife for a low-risk pregnancy, than deal with hassles and policies of a hospital. OBs can’t always provide you with the care that they’d prefer, based on policy alone. And no, not everything is…