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Birthing Instincts

#387 High Risk - What Does It Really Mean?

Birthing Instincts

Dr. Stuart Fischbein + Midwife Blyss Young

Parenting, Kids & Family, Alternative Health, Health & Fitness

4.5631 Ratings

🗓️ 13 November 2024

⏱️ 90 minutes

🧾️ Download transcript

Summary

Obstetricians regularly use terms like high risk, safer, evidence based and standard of care as if they all have an agreed upon definition. THEY DON'T! Today Blyss & Dr. Stu discuss the use and misuse of language and the corruption of definitions in the maternity care world. What or who determines the standard of care? Are labels of high risk indicative of high risk? Who should determine what safe means? We offer some explanations and strong opinions, shockingly, as to the motivation behind the manipulation of these terms and suggest alternative definitions that we think just makes more sense.

In this episode of the Birthing Instincts Podcast:

  • Defining Medical Terms and Standards
  • Pregnancy and High-Risk Conditions
  • Risk Assessment and Labeling in Healthcare
  • Questioning Evidence-Based Medicine and Safety
  • Exploring the Definition of Physiologic Birth


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Transcript

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0:00.0

Welcome to the Burling Instincts Podcast.

0:05.0

I'm Dr. Stewart Fishbein, community-based practicing obstetrician and longtime advocate for birth choices.

0:10.0

And I'm Bliss Young, a licensed midwife.

0:13.0

Join us in our conversational style podcast where we talk about everything birth.

0:17.0

Sometimes we laugh, sometimes we cry, but we're happy that you're here. So here we go.

0:25.2

I love the way our podcast just start. You're still probably breathing heavy from this morning.

0:34.0

That's not what people think. Don't go there, people.

0:39.5

Why don't you want to explain?

0:44.8

Well, I thought I was having a nice relaxing morning and coffee in bed with my partner.

0:50.9

And then I get, yesterday, I did have a client tell me that when she tried to, she got her disability rejected.

0:53.6

And I was like, oh, it must just be some kind of glitch.

0:56.6

Then I get another one this morning who hasn't had her baby yet and seemed a little bit more

1:02.0

anxious about it. And so I go to look online, you know, in California we have two licenses.

1:09.5

We have our our NAR um license which is has to do

1:14.9

with um our shoots do what's the one the national um our c pm our certified professional

1:25.0

midwife who i'm going to be interesting on today's podcast.

1:28.3

And then the other one is an LM, which comes from the Medical Board of California.

1:32.8

So she told me that she got four emails in a row, and it said she needed to get a new doctor

1:39.6

within 30 days. She's about, she's like 40 weeks and a few days. So she's freaking out because she's like,

1:46.8

oh my God, does my midwife have an invalid license? Like, like for her, it's just, that would be,

1:54.3

that would put me in complete panic. Not just because I, even though I know my license wasn't

1:59.0

invalid, but because now I have to try to deal with the state to clear that up.

...

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