Category: Practice Issues – Safety & Cost

Comparing national vs. Ca LM neonatal mortality stats + Mother-baby risk status defined by Childbirth Connection

Background info to support re-adoption of the Criteria for Client Selection from our previous Standard of Care/current MBC Practice Guidelines for Ca LMs: Recent and definitive info on national birth certificate reporting of NNM in the Linked Birth/Death Data set AND the NNM rate averaged for the last 4 years of LMAR data (over 10,000… Continue reading Comparing national vs. Ca LM neonatal mortality stats + Mother-baby risk status defined by Childbirth Connection

Aug 7th Interested Parties Mtg Excerpt ~ email to Curt Worden ~ information and requests

Below is a very lengthy excerpt of my letter to MBC staff Curt Worden, providing crucial background information for the August 7th “Interested Parties” meeting. @@@ Unfortunately, I am unable to attend the scheduled Interested Parties meeting scheduled later this week.  I expect someday professionals and members of the public will be able to provide… Continue reading Aug 7th Interested Parties Mtg Excerpt ~ email to Curt Worden ~ information and requests

CLIA info on “Good Laboratory Practices” and definition of what situation do & don’t require certification by CLIA

CLIA means the Clinical Laboratory Improvement Amendments of 1988 CLIA INFORMATION IS AVAILABLE ON THE INTERNET AT http://www.cms.hhs.gov/clia/ 12-17-2002 Number 7 on list of glossary terms and definitions: Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are NOT considered laboratories. [emphasis added] GOOD LABORATORY… Continue reading CLIA info on “Good Laboratory Practices” and definition of what situation do & don’t require certification by CLIA

Women Receiving Midwife Care Throughout Pregnancy & Birth Have Better Outcomes ~ Cochrane Library

June 2013 … less likely to lose their babies before 24 weeks or give birth before 37 weeks.  Women were happier with the care they received, had fewer epidurals, fewer assisted births, and fewer episiotomies … care provided by midwives was more cost-effective during labour …. researchers conclude that all women should be offered midwife-led continuity of care… Continue reading Women Receiving Midwife Care Throughout Pregnancy & Birth Have Better Outcomes ~ Cochrane Library

Study Finds Adverse Effects of Pitocin in Newborns ~ more than 24 hrs in NICU, Apgar of 6 or less @ 5 mins

The American Congress of Obstetricians and Gynecologists (ACOG), a 501(c)(6) organization, is its companion organization. www.acog.org May 7, 2013 New Orleans, LA — Induction and augmentation of labor with the hormone oxytocin may not be as safe for full-term newborns as previously believed, according to research presented today at the Annual Clinical Meeting of The American College… Continue reading Study Finds Adverse Effects of Pitocin in Newborns ~ more than 24 hrs in NICU, Apgar of 6 or less @ 5 mins

Midwife-operated birth centers are the missing link to integrate physiologic childbirth practices into mainstream healthcare

  In the late 1970s, access to unmedicated and physiologically-manged normal childbirth via the legacy practice of midwives providing care in non-medical settings (i.e., PHB) was so extraordinarily influential that the entire hospital industry/obstetrical profession reversed course.  Twilight Sleep drugs, general anesthesia and routine use of episiotomy, forceps and manual removal of the placenta were first introduced… Continue reading Midwife-operated birth centers are the missing link to integrate physiologic childbirth practices into mainstream healthcare

More California women dying from pregnancy & childbirth complications since 1996

Originally published in the California Watch  Founded by the Center for Investigative Reporting HEALTH & WELFARE | OUR MATERNAL HEALTH February 2, 2010 | Nathanael Johnson The mortality rate of California women who die from causes directly related to pregnancy has nearly tripled in the past decade, prompting doctors to worry about the dangers of obesity in expectant mothers and about… Continue reading More California women dying from pregnancy & childbirth complications since 1996

Legal bkgrnd ~ physician supervision, physiological CB practice vs. obstetrics, ACOG ruling ethical to perform medically unnecessary Cesarean surgery

Tags: physician supervision, physiological CB practice vs. obstetrics, ACOG ruling ethical to perform medically unnecessary Cesarean surgery, Ob-GynNews There is much disagreement about the appropriate relationship between physicians and midwives. At the core of the question about the modern role of midwifery is yet another question — what is the right relationship between “modern” medicine and… Continue reading Legal bkgrnd ~ physician supervision, physiological CB practice vs. obstetrics, ACOG ruling ethical to perform medically unnecessary Cesarean surgery

historical Info – Origin of the LMPA as 2004 request to Sen Figueroa via Vince Marchand

Copy of my 2004 email to Vince Marchand, consultant for the Senate Business and Professions Committee and sharing office space with Senator Figueroa’s staff Suggests for SB 1638 ~ 2006 amendment the 1993 LMPA 11/22/2004 Dear Vince, Called the MBC to talk to Linda Whitney today but haven’t heard back from her yet. Here is… Continue reading historical Info – Origin of the LMPA as 2004 request to Sen Figueroa via Vince Marchand