In this section, I do not intend to teach principles of obstetrics. My goal here is to offer some ideas for you to gain enough insight to improve your chances of a safe delivery. The cesarean deliveries fall more in the category of operating room procedure, so please see this chapter for those issues. Therefore, here we shall discuss the option of receiving pain control and the use of forceps during vaginal delivery.
First, many women across the United States are now opting for natural childbirth in outpatient birthing centers staffed with nurse-midwives. This movement has gained momentum because of the risk of brain damage, permanent injury, and infant death associated with the use of drugs and forceps. Thus it is advisable, as you seek out prenatal care, to explore the possibility of engaging in natural childbirth with the services of a nurse-midwife. Here are a few safeguards that should be in place for you and your baby's protection:
* Fetal monitoring must be provided during labor.
* There must be an agreement with a covering obstetrician (medical doctor) who will review the prenatal care with the nurse-midwife and provide medical intervention in case of any complications.
* There must be a hospital within a reasonable distance that can receive you and your baby (after delivery) and provide medical care in case of any unforeseen complication.
* There must be a fully equipped crash cart for resuscitation if needed.
* There must be a paramedic ambulance standing by or available within five minutes for transport.