Many times the individual who desires to give natural childbirth simply is unable to do so because perhaps the baby is too large to move through the birth canal or labor has gone on as long as safety can allow. Ethics should guide both the midwife and the obstetrician in this area and that which is the domain of the midwife should not be crowded by shadowing of the obstetrician and likewise the midwife's ethical responsibilities demand that the midwife hand the client over to the obstetrician when medical safety thus demands. There are many political, socioeconomic, and ethical considerations that drive the focus of the groups that are examined in this study. The AMA and ACOG certainly are likely to feel threatened by the midwives organizations who advocate for childbirth that is free from the offerings of the medical doctors when possible. The offerings of the members of CFM...
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