Part 3 ~ Part 2 chronicled the the history of how Twilight Sleep drugs, episiotomy, forceps, manual removal of the placenta and other interventions became the standard for normal childbirth services in the US from 1910 to 1980. The relationship of the obstetrical model to normal childbirth has changed very little since obstetrics was standardized in […]

Original Investigation | August 12, 2013 Association of Autism With Induced or Augmented Childbirth in North Carolina Birth Record (1990-1998) and Education Research (1997-2007) Databases Simon G. Gregory, PhD1,2; Rebecca Anthopolos, MA3; Claire E. Osgood, BS4; Chad A. Grotegut, MD5; Marie Lynn Miranda, PhD3,6 [+] Author Affiliations JAMA Pediatr. 2013;():-. doi:10.1001/jamapediatrics.2013.2904. Text Size: A A A Published online August 12, 2013 Article ABSTRACT ABSTRACT | METHODS | RESULTS | DISCUSSION | ARTICLE INFORMATION |REFERENCES Importance  One […]


This is a perfectly WONDERFUL document written by Nancy Chavez, Senator Killea’s legislative aide, in the weeks following passage of SB 350 (the LMPA of 1993). NancyChavez_Advice_1993 I scanned and saved it as a PDF, so it has to be read page by page (total of 3) but it is so well worth your time. […]


While searching through my emails for Shannon Smith-Crowley’s phone number, I discovered this contribution by Tonya Brooks, LM. She sent it to Shannon in 2005 while we were working on the California Licensed Midwives’ Standard of Care and asked that it be distributed.  I thought it was an excellent scholarly description of midwifery and so […]


 “Connecting up the Dots” The Conundrum of Obstetrical Supervision of California-licensed Midwives ~ A legal impossibility created and vigorously maintained by organized medicine Historical Background: From the incorporation of California as a state in 1876 until passage of the 1993 Licensed Midwifery Practice Act (LMPA), the traditional (non-medical) practice of midwifery was an independent profession. […]

Making Legislation about Mothers and Affordable Maternity Care, and not about midwives, and the doctors who refuse to provide supervision I think we are served by not focusing tightly on us, as midwives or about midwifery per se — that is, I think there is considerable advantage to not using the word “midwife” or “midwifery” as the identified focus of our legislative efforts.  For the public, midwifery is […]

A personal invitation to 40 LMs to join me for the next 40 days in “furthering” the political action in the right direction! Dear CaLMs, I love thinking of California licensed midwives as a CaLM – calm, caring, competent, compassionate, good for California’ childbearing families. Right now the politics of licensed midwifery in California is part of […]

Re-posted from Huffington Post: 03/29/2012 “Midwives have a central focus in our strategic plan. We are hoping Washington State can double out-of-facility births in the next two or three years.” The speaker was Jeff Thompson, M.D., MPH, chief medical officer of the state of Washington’s Medicaid program. He spoke in a taped interview for Symposium […]

Study #1 CMAJ September 10, 2012 First published September 10, 2012, doi:10.1503/cmaj.111753 © 2012 Canadian Medical Association or its licensors All editorial matter in CMAJ represents the opinions of the authors and not necessarily those of the Canadian Medical Association. Effect of a collaborative interdisciplinary maternity care program on perinatal outcomes From the Department of Family Practice (Harris, Janssen), the […]