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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I didn't know that, that's cool
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I guess distance becomes a big factor: oxygen and blood pressure levels can crash abruptly (for either person), it feels to me like it'd be hard to justify using a birthing center that was more than a five minute drive away from the nearest ER/OB.
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