CCM Preamble to VBAC Statement: Part 3 ~ Developing a rational maternity care out of the ashes of our illogical system

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… Continue reading CCM Preamble to VBAC Statement: Part 3 ~ Developing a rational maternity care out of the ashes of our illogical system

AB 1308 issue: Association of Autism With Induced or Augmented Childbirth in North Carolina Birth Record

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… Continue reading AB 1308 issue: Association of Autism With Induced or Augmented Childbirth in North Carolina Birth Record

Advice from Senator Killea’s Aide (Nancy Chavez) on how to pursue legislation to replace supervision w/ collaboration

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.… Continue reading Advice from Senator Killea’s Aide (Nancy Chavez) on how to pursue legislation to replace supervision w/ collaboration

Operating Principles of Midwifery by Tonya Brooks

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… Continue reading Operating Principles of Midwifery by Tonya Brooks

My 2007 letter to then-Attorney General Jerry Brown on the supervision provision

 “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.… Continue reading My 2007 letter to then-Attorney General Jerry Brown on the supervision provision

The case for focusing on affordable maternity care instead of supervision

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… Continue reading The case for focusing on affordable maternity care instead of supervision

An Action plan for Affordable Maternity Care in California in 2013

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… Continue reading An Action plan for Affordable Maternity Care in California in 2013

Homebirth Midwives and the Hospital Goliath: Evidence Builds for Disruptive Innovation

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… Continue reading Homebirth Midwives and the Hospital Goliath: Evidence Builds for Disruptive Innovation

Canadian Studies (1) collaboration midwives & docs (2) policies promoting normal childbirth-reduce OB interventions

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… Continue reading Canadian Studies (1) collaboration midwives & docs (2) policies promoting normal childbirth-reduce OB interventions