Physician Supervision Issues

The best way to understand the contemporary politics of allopathic medicine in California is to peek behind the curtain of our state’s modern-day Medical Practice Act to its original 1876 “Healing Arts Act” and California’s first attempt to legally define and regulate the use of the word “doctor”. So here is a brief historical account […]

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ASIDE: I found a funny blooper in AB 1308 – a misunderstanding of the word “version”, which is a technical term that actually refers to “podalic” version — changing a vtx position to a breech during 2nd stage by reaching up in the mother’s uterus and pulling her baby out by its feet: (e) The […]

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Dear Midwives, As a midwife who has been practicing since the 1970s, I would like to first express my appreciation to Sarah Davis and Constance Rock for their extraordinary dedication to our profession and the families we serve, as well as Faith Gibson and the members of the Midwifery Advisory Council for the countless hours […]

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What Ca LMs needs to know b4 reading: First, this is the SAME language as before. The changes expected to remove physician supervision as a prerequisite of practice can’t be made when the bill goes back to the Assembly for (yet) another hearing. Second, this Senate analysis provides a number of interesting things, including “the facts” […]

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News Flash #1 ~ Tosi Marceline is newest LM member of the Midwifery Advisory Council News Flash #2 ~ Constance Rock and Sara Davis gave their report on the most updated version of AB 1308 during today’s Midwifery Council meeting (webcast available on line!) They had extraordiary news, but remember that AB 1308 is still a bill, […]

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I am relieved and please that Assemblywoman Bonilla’ office kept their promise to do something really important to help midwives, mothers and eventually California taxpayers. Recognizing LMs as qualified to function as birth attendants in birth centers and for the facility to qualify for reimbursement through MediCal is monumental progress. This really is a BFD. The […]

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Access to Affordable Maternity Care in California by Professionally-licensed Midwives The re-classification of the midwifery profession as a medicalized discipline in 1974 was economically advantages to medical profession, but detrimental to midwives, childbearing families and California taxpayers. A problematic aspect of midwifery as a medicalized discipline is the economic effect on these non-physician practitioners and […]

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California College of Midwives Access to Affordable Maternity Care in California by Professionally-licensed Midwives What happens when the legacy practice of midwifery as a personalized form of care is reclassified as a medicalized, physician-dependent discipline? What happens when the traditionally non-medical skills of midwives are legally defined as ‘medical activities’ to be delegated and supervised by […]

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BMC Pregnancy Childbirth. 2013 Apr 3;13(1):83. [Epub ahead of print] A survey of access to trial of labor in California hospitals in 2012. CONCLUSIONS: Despite the 2010 NIH and ACOG recommendations encouraging greater access to TOLAC, 44% of California hospitals do not allow TOLAC. Of the 56% allowing TOLAC, 10.8% report fewer than 3% VBAC births. […]

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