The twin story is coming, I promise! The dad is so busy, he wants the mom to read him the story while he works, and, well, she's had a few things to do. Those babies are doing so well, I tell ya. They were both almost back up to birthweight by 3 days. Awesome!
While you are waiting anxiously, Dear Readers, I want to ponder with you the issue of rights in healthcare.
I believe in the total individual right to autonomy in healthcare. I believe that parents have the absolute right of informed consent and refusal. I believe that even if it would cause harm to their babies, women have the right to bodily integrity (i.e. I don't believe in forced or coerced cesareans. Ever.) This is a hard thing for me as a pro-life mama. It has shown me that there are consequences that follow fetal rights and what can happen when the rights of the baby override the rights of the mother. This is a dichotomy that shakes me to my core. I have contributed to Right to Life since I was a teen, and I cut my net.teeth on newgroups debating vigorously my anti-abortion stance. However, this does mean that mother's rights to autonomy in their own pregnancy and birth can be pushed aside in the name of their baby. I do see now where the logical end of these things are.
So, with all that said, what are the rights of the caregivers? Do I not also have the right to informed refusal and/or consent? Can I not decide which births I am willing to attend, which are in my comfort zone, and which are within my skill set?
If I suspect twins, for example (heh), and the parents do not want an ultrasound, they have the absolute right to not have the ultrasound. However, I should have the right to say that unless I know certain circumstances are met, I have the right to not be forced to take responsibility for their care.
Now, what happens when it reaches 39 weeks? When a mother would most certainly be cut if she went into the hospital?
I have said I have a "new rule" that if I suspect twins or breech, the couple must get an ultrasound to confirm position, zygosity, etc., or I will kindly show them my door.
What is reasonable, Constant Readers? Where do the lines cross? Where do they parallel? And what happens when the midwife's right to remain in her comfort zone conflicts with the couple's right to refuse interventions?