Thanks to a blog reader, this EXTREMELY distressing piece of information came to my attention. Oh, to know the insurance company!
Let's explore, shall we?
- I received a booklet in the mail from the medical malpractice insurance company that covers most of us in Montana. The booklet is titled, "Insurance Recommendations for Obstetrical Practice". Under the title on the cover page is says, "There are only two options for delivery: An easy vaginal delivery or an easy cesarean section".
- The booklet then lists basically all types of obstetric management and situations and provides very matter of fact direction on how each of these situations should be managed. Dictums are provided - no acceptable alternative, one way, period.
- Some examples of the "recommendations" -"it is inappropriate to discuss serum screening in terms of "false positives". Rather this should be offered to all pregnant women in order to determine whether or not they are at increased risk for Down's syndrome, and the absolute magnitude of this risk."
-"cesarean section is almost always the appropriate route of delivery for lack of progress in labor, unless criteria for outlet forceps are met."
- These are only a very few examples of the mandates listed on 25 pages.
If any of us ever thought doctors might be puppets in the Land of Hysterical Birth, this information validates our inner knowledge.
Michael Moore (of Fahrenheit 911 fame) is in the midst of an expose about HMOs and insurance companies. I can only pray he uncovers this sort of information.
I wish I were friends with OBs sometimes so we could see, with our own eyes, the crap they are given by insurance companies. And pharmaceutical companies. And ACOG. They usually hold this information close to their vests, but this person, someone with half a conscience, decided to share with the Internet.
Let's all thank her, eh?