A while back, I made it my business to figure out whether birth was preferable in a hospital (with aenesthesiologists) vs. in a birth center without pain relief. I found it difficult to draw hard conclusions, but even that makes me think the medical system needs to do better
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FWIW, birth centers refer clients to hospitals and refuse to continue anything beyond intermediating care at any point where the birth appears beyond their means, including long prior & during
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I didn't know that, that's cool
End of conversation
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