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  1. Anonymous

    Giving birth at a hospital should be a safer option than doing so at home!

    I appreciate your reasons for doubting the statement in that caption. But the facts don’t change.

    Hospitals are places where identification of potential problems that a woman could face during the process of giving birth is possible. It is also a place where facilities permitting and staff willing and able, can address those risks and avoid catastrophic events.

    Things can and do go wrong sometimes even in the best of places. Even things that should not have hapened do happen. Things that are beyond control happen anyway.

    It sad and hurting to read about what happened to you. I cannot imagine what it must have been like for you having to go through all that emotion. And it is comforting to know that you and your partner are doing what is best for your little angel.

    I don’t know the story well enough to know if and who were responsible for the sad outcome in your case, but that doesn’t change the fact that even considering that, it is still much safer for babies and the mothers to give birth in a hospital tha at home.

    I can only hope that the hospitals in your home are heedful of your plight and the others and improve their care and duty of care to the patients.

    Yana Dueshung,
    Safe Birthing Practices,

  2. Yafaau's Daddy

    I want to add to Aimina’s comments:
    The father is less likely to be actively involved in a hospital setting, and may feel like an ?outsider.?

    However as mentioned above the options would be safe if handled by qualified staff at hospital or midwife at home.

  3. Anonymous

    Disadvantages of a Hospital Birth:
    The parents are not on ?home ground? and do not have the same control.
    Hospitals can seem impersonal and intimidating.
    Some routine separation of the mother and baby is almost unavoidable.
    The birth is usually managed by experts trained in pathology, not normal births.
    The mother is at a significantly higher risk of having an unnecessary cesarean section.
    The risk of complications or infections caused by medical interference to the mother and baby is greater among mothers who deliver in hospitals rather than with the help of a qualified midwife in their own home.
    Less privacy is available.
    Most hospitals do not allow the mother much rest.

    A mother of 2

  4. Dr Abdulla Niyaf

    It is good to see some healthy discussion.

    Some good arguments from both sides and with no apparent third option in between for mother in Maldives, it is usually a decision that must be left to the family.

    At the hospital where I am currently working as a Neonatal Registrar, The Mercy Hospital for Women in Melbourne, there is a third option: the Family Birth Center.

    This is a place where the parents are in control, delivery is monitored by an appointed well-trained midwife, with no nursing or other medical staff unless called for by the midwife and the family.

    It may not be the solution, but it is something that works well at MHW. That is not to say that doctors and nurses are never called- they are called when they are needed, without delay.

    The close proximity to professional medical care (Obstetric and Neonatal) and the greater involvement of parents (the pregnant woman and her partner) in the decision making and the apparently more “natural” birthing experience has made this an increasingly appealing option for many families.

    Is this an option that could be more acceptable to Maldivian women? Is it feasible to have such a service? I don’t have an easy answer for these questions.

    I agree with most of the comments made by Aimina. I have to however disagree with a couple of things, if I may.

    The Obstetric doctors and the Obstetric nurses (the Nurses are the ones who usually conduct deliveries in the Maldives) get a lot more training and experience in “normal” deliveries than in “complicated” deliveries. And it is their experience in dealing with “complications” or “pathology” that makes them arguably better. In my extremely limited obstetric experience, I have infact only had to deal with “normal” deliveries. Complicated ones being left to the more senior and experienced doctors in that field. One has to know enough about normal events to identify abnormal. I would like to think that this notion is not lost to the medical professionals of our time.

    The second thing I thought I would comment on would be the “risk of complications or infections” from medical inteference. While I think we have to admit that there are complications and infections arising from medical interventions, the same is probably true to a much larger extent if that medical intervention was not made (when and where it was required).

    The whole idea of having that medical intervention should be to reduce risk of these very complications and infections.

    I agree with Aimina that we should reduce “unnecessary” “routine” interventions in medical practices.

    Pregnancy and birth is not an illness or a disease. It is and should be treated as a special physiological event. That is in lay terms: a normal event.