Midwives,Home deliveries, and high risk pregnancies

I left this as a comment on Kevin MD's blog, here goes the link

http://www.kevinmd.com/blog/2009/05/doctors-and-midwives-need-to-cooperate-more.html

Just had to share this with my own readers

Here goes my comment:

I agree completely with Dr.Greg.I have seen midwives who have no idea of many obstetric complications and don't diagnose things early enough during routine Obstetric checkups and then take it till the last minute when all they know is that the delivery is not happening and there is some complication but they themselves have no idea what exactly and precisely the problem is.They do not have enough clinical acumen to pick up signs early and treat them and simply rely on luck often times which sadly is at the cost of the life of the mother and child. I myself have witnessed women come to emergency rooms and then die on the ER table there coz they kept trying to deliver till the last minute at the home and only came to ER coz the mother collapsed due to massive bleeding which is essentially too late to seek medical help .A mother's life is important, You cannot let her die due to problems that could have been easily managed had it been a hospital birth. Yes, midwives can play a role in routine check ups and doing home visits to ease the burden of Obstetricians in remote areas where not many Obstetricians are available, but having a hospital delivery is the safest.But then this is sensible only after the woman first visits at crucial points during a pregnancy and makes sure it is not an already predetermined complicated pregnancy. Please remember that even a seemingly normal case can become complicated during labor due to massive bleeding and what not. It is unfair to first mess up a case and then run to the Obstetrician in the last minute for help .

Hormones , and other substances causing anger

I got a large number of reader queries asking the same thing.

WHAT ARE THE HORMONES THAT CAUSE ANGER.?

Well, for one, before answering this question, I have to clarify something. No, hormones are not what cause anger. yes, the life situations that evoke anger might cause certain hormones and other substances to be released during that course of anger but no, hormones on their own are not the ones causing anger.

Anger is a mere response to something that is there in your environment that is happening or happened to you and is now recorded in your memory and your replay that past moment and get angry. Yes, so therefore, anger is not an independent entity. It is a response to an environmental stimulus or a mental though stimulus.

Similarly, Hormones per say don't cause anger. Moreover, it is not certain hormones that predominantly figure in anger and other emotions. It is certain neurotransmitters that are associated with anger or mania or psychosis or depression etc. 

Yes, there are certain hormones which when produced in excess in the body can reduce your threshold for certain environmental stimuli and cause you to get angry quickly and such and i did talk about these hormonal imbalances in my previous blog entries. Please look at all my archives to find more than one article on hormones and their effects thereof. As far as neurotransmitters are concerned, I am gonna take some time and simplify complicated neurotransmitter lingo and then post a blog entry about them at a later point of time. 

Meanwhile keep those questions coming. All these blog entries are only advisories are not actually meant as specific medical advice. Please visit your family physician if you feel you need medical attention .