Face of Birth Experts – Dr Richard Porter on the best carer for women in childbirth


Modern childbirth, obstetricians and midwives:
who is the best carer for normal healthy women? The medical model is predicated on a belief
—–
Modern childbirth, obstetricians and midwives:
who is the best carer for normal healthy women? that birth is unsafe until proven safe. So, every delivery
is a disaster waiting to happen and you can only say in retrospect
that it was safe and wonderful and all the rest. By contrast, the natural/physiological approach
is a very much simpler one and a much more optimistic one. It takes the polar opposite view: that birth is normal
until it is proven to be abnormal. And that is why we, who all of us subscribe to that view, are very happy with the idea of us
only being called on when needed. Because our default position is
that we are not going to be needed very often. And the other point about this is that those who subscribe to the medical model get very easily locked into a sort of conceptualization
of the role of the medical attendant, which is quite rigid in many respects. Again, coming back to the point
that I was making of modular intervention: if you have a basic position which says
you are totally involved as a physician, as an obstetrician, then you are totally involved at several stages in it. And you get locked into a negative view, which is completely unnecessary
as we would say, as we would see it. If you, on the other hand, take the positive view and one which says:
“It is not that I do not want to be of help to everybody, it is just that I know that
I cannot be of help to everybody. That there are many, many deliveries
where I would probably be disadvantageous.” You really do not need somebody, whose prime approach
to childbirth is based on a disease model get involved in a normal delivery. They have nothing to offer. Nothing at all.
Apart from potentially an adverse input. And whichever way you look at it, midwives are far better at handling normal deliveries
than obstetricians, who have other things to do,
often very busy people, do not necessarily want to wait, how often have we all seen obstetricians
sort of fidgeting, wanting this baby out, that sort of thing. That is not really quite what it is all about. Midwives, on the other hand,
they are there for the duration, they have nothing else to do. That is their focus. Point. You are going to have your baby and I am going to be with you until you deliver. And if it is in ten minutes, whoopee! and if it is in three hours and
forty-seven minutes, so be it. And that is the sort of attendant that seems to me
that somebody needs in childbirth and absolutely not somebody
who has got other things to do. Now, it may be that out there there is a massive cohort of obstetricians
who are prepared to take exactly that view, but I have to say,
I have not met them yet. the face of birth
meet the experts faceofbirth.com
Subtitles by Drahoslava Lipkova.

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