Friday, November 09, 2007

Missouri Update or Show Me the Midwives

I thought I'd send along an update for those who may not have heard what became of the Missouri Bill to legalize midwifery. The short version is this (taken from the Friends of Missouri Midwives newsletter that just landed in my mail.) The bill was shot down before it took affect at the end of August. A bunch of medical organizations (including ACOG) sued to have the addition to the insurance bill ruled as unconstitutional. They won. Now there is an appeal to the Missouri Supreme Court underway to overturn the ruling. Its an exciting saga... stay tuned.

Read the article in its entirety at www.friendsofmomidwives.org

Ready for a controversial question? (Of course you are, why else would you be reading this blog?)

Will making midwives legal really fix what ails us as a state? I just followed the link Dawn sent for a local mother's online forum. The discussion was on the best place in town to give birth, and to hear all the women chime in about their wonderful hospital births gives me pause. Women don't know what a good birth is. Having legal midwives may increase options, but what if those midwives are forced to deliver up the same old, same old that women get now. Lots of folks assume legalization is a good thing, and I suppose in some ways it is. But what drove me from the ranks of aspiring midwife was looking around and seeing midwives who were doing the very things they became midwives not to do. Look, I'm not knocking midwives, I love midwives. I just believe wholeheartedly that we live in a culture that is devoted to making midwives into mini-docs. Our culture does not even begin to appreciate the solutions that midwives have to offer. They want to police and legislate them into servants of the status quo. I want REAL options. I want NEW ideas. I want birth on MY OWN terms. The best conversations I've heard this year have been about unassisted birth. I want a revolution. I want transformation. What will it take to see real change?

35 comments:

Country Dawn said...

I don't know that legalization is the answer either. If I had another, I think I'd go unassisted. I'm with you. Revolution. Transformation.

Anonymous said...

I agree with you. Nurses who become midwives have become mini Doctors. The midwife model in Ireland and England seems to be more along the lines of staying with the patient and supporting them in labor. I am currently at a turning point. I am an L&D RN and I was always of the opinion that a homebirth for low risk women was just as safe as a hospital birth. Given the homebirth attendent knows NRP and has oxygen and such in case the baby needs assistance....Most of the time babies will not but some do.... ANyhow, I have been reading blogs and the homebirth advocates have not given me any concrete evidence that home birth is as safe as I previously thought. There is one OB on the internet that has quite a lot to say about how unsafe home births are...So now I am doing some investigation.....I have also just been exposed to the unassisted birth also......I though you, as an RN, could direct me to research, information, etc....to support Home birth.....Thanks YOu....CHris

kirsten said...

Well, as one RN turned midwife, I am holding out for the revolution, Sherry. :)

Sherry, please call me or email me privately - I've lost your address.

SAdly, the woman I told you about (see comments to your Sage Femme blog) has decided to give her power away. She came in the other day saying she wants a hospital birth. Sigh... we can only plant the seed I guess.

kirsten
midwife1@cox.net

The Rogue Midwife said...

I agree with you. Your thoughts are the exact reason why I decided not to become a CNM. Besides, I have seen many CNM's who are basically run out of business because they can't get paid what they are worth by the insurance companies for doing home births. Having said that I don't necessarily think that Unassisted birth is the way to go. Having been in a few situations that could have been bad for an untrained ill prepared father, I really think that training midwives to be more hands off is where we we need to go.

Laborpayne said...

Good thoughts Rogue- you may be on to something there- a movement withing the ranks to be more hands off.

Kirsten, I'm truly sorry to hear about the loss of even one woman to the birthcenter system. Perhaps she needs a hospital birth to help her better know whats important.

Chris,
Your question has given me pause for several days now. Funny, I was also just on Dr. Amy's blog sniffing around. You and I will have to investigate together I'm afraid. I can't direct you to research because I myself have not completed my critical reading of what is available. You see, I didn't base my decision to birth at home on research studies, I based it on experience attending the births of others and my own intuition that told me this was right for me. I DO want to know what the research says and I am discovering what's out there as I write my book. I've decided, based on your inquiry, to write posts as I go through the articles one by one. Thanks for asking. Many websites such as mana.org will have listings of articles for you to begin your search.

Anonymous said...

Education and that documentation of evidence. I think childbirth classes and also health classes need to show homebirth and midwife hands offish center birth in the true light and women will realize they have a choice. Gotta get them before they go to the hospital the first time. Ads also about having a gentle birth might help...on TV and in print. I think grass roots organizing. Ricky Lake might be helping with the movie if only...people see it. After my frustration with my treatment with my miscarriage, I began educating myself with pregnancy and began reading blogs. After my bad birth experience last time, I now will try hard to go to a center. I am converted. The homeschooling movement took time. A few did it, it got recognized, and now it's everywhere. Evidence got out on public schools, and people began to think of doing things another way. Word has to get out about hospital births and the trauma it causes. Focus on that for a while, then go to empowering families with the options...

Dawn

Laborpayne said...

good thoughts Dawn, I'm trying to do my part because it will take grassroots efforts to really turn things around.

SCB said...

Lay midwives should be legal in the state of Missouri, and attend home births. CNM should be able to practice fully, without doctor supervision (abuse) in homes, and in the hospital setting.

I'm not an advocate of home birth. When a woman chooses to give birth at home, someone who can recognize complications and handle emergencies should be present.

It is unfortunate that when we women choose to have a baby, we enter a very dysfunctional medical-legal community.

I have been on the Missouri Medical Association website, and read their stupid (for lack of a better word) comments on this topic. Midwives are dangerous they say. Well it’s dangerous for a woman to give birth without an attendant. I'm hoping and praying the court sees it this way, and let’s midwives practice so women will be safe.

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