AB1308, new regs & new legislative efforts

Part 3 ~ Turning a backlash into forward action ~ women’s groups plan to acknowledge and protect the human dignity of childbearing women As judged by worldwide standards, the historically poor performance of interventive obstetrics in the US represented an uncritical acceptance of an unscientific premise — a ‘one-size-fits-all’ obstetrical model that repeated and continually fails to distinguish between healthy […]

Historical overview For centuries obstetrics was simply a general part of medicine. Since it did not include any advanced training in reproductive surgery, the skills of the average family practice doctor were not all that different from the typical practice of midwifery. In colonial American, childbirth services were split 50-50 between midwives and MDs. Before […]

By faith Gibson, LM, CPM ~ former L&D nurse, mother, grandmother, childbirth educator, birth activist, professional community midwife, and a person who is never afraid to hope for a better future Healthy women with normal pregnancies living in developed countries generally have no reason to worry about the basic safety of normal childbirth. Since pregnancy is […]

This is a word-for-word comparison between the 2006 legal Standard of Care and the 2014 informal “guidelines” as edited by the MBC by strike-throughs to conform with AB 1308’s requirements. This included deleting all mention of a childbearing woman’s autonomy or her ethical right of self-determination, and a midwife’s ethical duty to inform, advocate for […]

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Like most Ca LMs, I received a notice from the Medical Board for the Interested Parties meeting at the MBC’s state offices in Sacramento on Oct 15th (1-4pm) This event will set the tone for implementation of AB 1308 relative to: (i) Any preexisting maternal disease or condition likely to affect the pregnancy. (ii) Significant […]

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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 […]

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This link takes you to a new and dynamic organization called HealthBegins.org. This topic is crucially important to Ca LMs in many ways, including our ability to ‘fix’ the ‘unintended consequences’ (i.e. problems) created by the AB 1308 amendment to the LMPA. The HealthBegings movement was started by a general practice physician from South LA […]

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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 […]

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August 9th, 2005 Members of the California College of Midwives’ believe the three principles identified below are non–negotiable. ONE: The basic human and constitutional right of healthy, mentally competent adult women to make the full range of health care choices that fall within a normal pregnancy, labor and birth cannot be bargained away by either […]

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The original (1917) California licensing provision for direct-entry midwives did a splendid job of modeling language for highly effective and ethical legislation for the practice of tradition (i.e., non-medical) midwifery in our State. Each use of a critical word or phrase was followed, in the very next sentence, by a specific and expanded definition of […]

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