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Dr. Tuteur and Kimmelin,

Thank you both for such a frank, candid, powerful and educational discussion. I really appreciated reading both of your posts, and am still "digesting" all of the information.

I am wondering how you each would "operationally define" the phrase "managed pregnancy"? It seems that the home-birth advocates define this term in only the negative, whereas the medical profession-advocates define this term in only the positive.

As a mom who had a high-risk delivery (with none of the risk factors!), and any future pregnancy will likely be an automatic "high risk" pregnancy, I welcome my pregnancy being "managed"...but I believe I am defining this as: being "cared for" by adequate health insurance coverage, caring physicians and nurses, a wonderful doula, access to competent hospital (or homebirth) professionals, my own knowledge and experience, and drugs or technology for myself and baby (if needed). I have worked in the "medical/health" field, as well as in the "wellness and prevention" field, and feel that there is some common-ground between the two...at least, there are common goals of creating a healthier society, with better access to health care, less health disparities and a "coming together" of traditional and CAM disciplines.

What are your thoughts?

July 17, 2008 - 1:50pm

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